Pepito C & Minerva C Rivera Ptr

NPI #1114235173 in Brookfield, Missouri

Provider Information

NPI Number: 1114235173
Entity Type: Organization
Organization Name: Pepito C & Minerva C Rivera Ptr
Primary Specialty: General Practice
Enumeration Date: Sep 23, 2010
Last Updated: Sep 23, 2010

Practice Location

Address: 308 N MAIN ST
City: Brookfield
State: Missouri
ZIP Code: 64628-1601
Phone: (660) 258-3324

Authorized Official

Name: DR. PEPITO C RIVERA, MD
Title: GEN PTR
Phone: (660) 258-3324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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