Search › Missouri › 208M00000X
Andrew Revelle, D.O
NPI 1528314275 · on the registry since 2012
Practice
- Address
- 54 Hospital Dr
Osage Beach, MO 65065 - Phone
- (573) 302-2287
- Fax
- (573) 302-2241
- Organisation at this address
- Rehab Vision
Air Evac Ems, Inc.
Osage Eye Clinic Pc
Charles J. Mcmullin
Louis J Quintero MdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 184
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 207RB0002X
207R00000X - Licence states on file
- WV, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri