Search › Pennsylvania › 335E00000X
Gene Reavis, CO
NPI 1659150696 · on the registry since 2023 · sole proprietor
Practice
- Address
- 901 S 55th St Unit A2
Phila, PA 19143 - Phone
- (215) 474-4767
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-28
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 Pennsylvania