Rivera Medical Office, LLC
NPI #1114073756 in Carlyle, Illinois
Provider Information
- NPI Number
- 1114073756
- Entity Type
- Organization
- Organization Name
- Rivera Medical Office, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jan 26, 2007
- Last Updated
- May 16, 2008
Practice Location
Authorized Official
- Name
- LISA R RIVERA
- Title
- OFFICE MANAGER
- Phone
- (618) 594-3613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pediatrics |
| Clinic/Center - Rural Health — Rural Health |
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