Organization Name: | DANNY L REVEAL, M.D., INC. |
NPI Number: | 1730205030 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANNY LEE REVEAL (PRESIDENT) |
Mailing Address: | 2300 Far Hills Ave Dayton |
State: | OH US |
Postal Code: | 454191550 |
Phone Number: | 9372932300 |
Fax Number: | 9372932331 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 04/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35037072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |