MR. Gregory J Rivenbark, CAA

NPI #1164089306 in Painesville, Ohio

Provider Information

NPI Number
1164089306
Entity Type
Individual
Name
MR. Gregory J Rivenbark, CAA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Anesthesiologist Assistant
Credential
CAA
Enumeration Date
May 23, 2019
Last Updated
Apr 8, 2020

Practice Location

Address
7757 AUBURN RD STE 15
State
Ohio
ZIP Code
44077-9604
Phone
(440) 350-0832

Specialties & Taxonomy Codes

Specialty
Anesthesiologist Assistant

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