Rivera Medical, LLC

NPI #1467756338 in Carlyle, Illinois

Provider Information

NPI Number
1467756338
Entity Type
Organization
Organization Name
Rivera Medical, LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jan 6, 2011
Last Updated
Jun 29, 2012

Practice Location

Address
1110 MULLIKEN ST
ZIP Code
62231-1233
Phone
(618) 594-3613

Authorized Official

Name
LISA RIVERA
Title
OFFICE MANAGER
Phone
(618) 594-3613

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics
Clinic/Center - Rural HealthRural Health

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