Renato Bacol Rivera, M.D.

NPI #1083612790 in Breese, Illinois

Provider Information

NPI Number
1083612790
Entity Type
Individual
Name
Renato Bacol Rivera, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Credential
M.D.
Enumeration Date
Jul 7, 2005
Last Updated
Dec 30, 2021

Practice Location

Address
9515 HOLY CROSS LN STE 175
City
Breese
ZIP Code
62230-3618
Phone
(618) 526-8430

Specialties & Taxonomy Codes

Specialty
Surgery

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