Paul Revis is a Dermatology in Rockford, Illinois. Paul Revis practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Paul Revis is 1518984293. The last update date is 2017-01-16.
Paul Revis's current location address is 1055 Featherstone Rd, Rockford, Illinois. You can contact this provider via phone number 8152271055. The mailing address for Paul Revis is 1055 Featherstone Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Revis |
|---|---|
| Address | 1055 Featherstone Rd, Rockford, Illinois |
| Phone Number | 8152271055 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1518984293 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2017-01-16 |
Provider Mailing Address Detail
| Address | 1055 Featherstone Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611075904 |
| Phone Number | 8152271055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36067857 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36067857 | IL | -- |
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What is the unique identifier code issued to Paul Revis by the Centers for Medicare & Medicaid Services?
The Paul Revis has been assigned the NPI (National Provider Identifier) 1518984293. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Paul Revis is located?
The Paul Revis is situated at the following address: 1055 Featherstone Rd, Rockford, IL, 611075904.
What is Paul Revis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul Revis is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
When was the Paul Revis's 1518984293 issued?
The Paul Revis's 1518984293 was issued on 2006-07-17.
When was the information pertaining to Paul Revis most recently updated or revised?
The details related to Paul Revis, including its address, specialty, and other relevant information, were last updated or revised on 2017-01-16.
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