Glen Rivera, PA-C

NPI #1316052111 in Lexington, Virginia

Provider Information

NPI Number: 1316052111
Entity Type: Individual
Name: Glen Rivera, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 20, 2006
Last Updated: Jan 26, 2024

Practice Location

Address: 108 HOUSTON ST STE E
City: Lexington
State: Virginia
ZIP Code: 24450-2455
Phone: (540) 463-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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