Richard Allen Rivera, PA-C

NPI #1275576738 in Creede, Colorado

Provider Information

NPI Number: 1275576738
Entity Type: Individual
Name: Richard Allen Rivera, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 13, 2006
Last Updated: Dec 7, 2022

Practice Location

Address: 802 RIO GRANDE LN
City: Creede
State: Colorado
ZIP Code: 81130-9554
Phone: (719) 658-0929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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