Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN J REVERON, M.D.
Active Sole ProprietorIVAN J REVERON, M.D. is a Family Medicine healthcare provider located in SPOKANE, Washington. NPI 1750393781 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SPOKANE, WA
Registration Details
- NPI Number
- 1750393781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (19.980871158707 yrs)
- Last Updated
- Jul 26, 2012
- License
-
MD60063800 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5901 N LIDGERWOOD ST STE 126SPOKANE, WA, 992081122Browse WA providers · Browse ZIP 99208
- Phone
- 5094341990
- Fax
- 5093408986
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SPOKANE, WA
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL H STOOP | M.D. | 1780680173 |
| DR. JEFFREY JOHN EMERY | DO | 1083611396 |
| DONALD F. CONDON | M.D. | 1134128697 |
| DAVID ANTONIO BECERRIL | MD | 1902806771 |
| ROBERT KENDALL CORBETT JR. | M.D. | 1578565586 |
| MARK ASHLEY HART | D.O. | 1013919927 |
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.