MATTHEW REVENNAUGH, PA

PA

Physician Assistant

NPI: 1619562386IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10003154A(IN)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2020

Contact & Hours

Address: 1400 HIGHLAND RD STE 1
RICHMOND, IN 47374
Phone: (765) 935-8905

Quick Facts

NPI: 1619562386
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 6

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