Individual provider · Type 1 NPI

Jonathan W. Revels, DO

Diagnostic Radiology Physician · Albuquerque, NM

NPI number 1750674164 Active

Practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719

Call (505) 272-1476 Map

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Other practice locations

  • 1959 NE Pacific St, Seattle, WA 98195 · (206) 598-7200
  • 1959 NE Pacific St, Seattle, WA 98195 · (206) 598-7200

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XA-2207-19 (NM)
Diagnostic Radiology Physician Primary 2085R0202XOP60730003 (WA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1750674164

Jonathan W. Revels, DO's National Provider Identifier is 1750674164, issued on May 17, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Albuquerque, NM. The record was last updated on Feb 22, 2019.