Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
D'MARIO REVERE, IDMT
ActiveD'MARIO REVERE, IDMT is a Independent Duty Medical Technician healthcare provider located in SCOTT AFB, Illinois. NPI 1275954125 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · SCOTT AFB, IL
Registration Details
- NPI Number
- 1275954125
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2013 (12.622575026013 yrs)
- Last Updated
- Dec 19, 2013
Practice Information
- Address
-
4465 GEORGE WASHINGTON DRSCOTT AFB, IL, 622256000Browse IL providers · Browse ZIP 62225
- Phone
- 6785515369
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in SCOTT AFB, IL
| Name | Credential | NPI |
|---|---|---|
| RAYMOND J FLAIZ | IDMT | 1639313240 |
| RYAN MICHAEL DAVIS | IDMT | 1922232909 |
| ANDREW ZAVALA | IDMT | 1164656088 |
| MR. CLYDE NOBLES JR. | IDMT | 1255565149 |
| TIMOTHY BLAKE WILDER | IDMT | 1184858045 |
| MR. PATRICK CHRISTOPHER KORTHUIS | IDMT | 1770818056 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.