Dr SARA M REVELLE is a female medical professional, specializing in Nurse Practitioner. She graduated in 1984.
PHYSICIAN GROUPS LC
2630 HWY K
O FALLON
MO
633686624
Tel: 6362405454
| Npi | 1124104831 |
| Pac Id | 9335302264 |
| Professional Enrollment Id | I20120511000556 |
| Last Name | REVELLE |
| First Name | SARA |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1984 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Group Practice Pac Id | 3072421254 |
| Number Of Group Practice Members | 330 |
| Line 1 Street Address | 2630 HWY K |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | O FALLON |
| State | MO |
| Zip Code | 633686624 |
| Phone Number | 6362405454 |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.