James J. Dalla Riva, Md, PC

NPI #1518143254 in Maryville, Illinois

Provider Information

NPI Number: 1518143254
Entity Type: Organization
Organization Name: James J. Dalla Riva, Md, PC
Primary Specialty: Specialist
Enumeration Date: Jan 11, 2008
Last Updated: May 10, 2024

Practice Location

Address: 6810 STATE ROUTE 162
Address 2: SUITE 301
City: Maryville
State: Illinois
ZIP Code: 62062-8501
Phone: (618) 288-5699

Authorized Official

Name: DR. JAMES J DALLA RIVA, MD
Title: PRESIDENT
Phone: (618) 288-5699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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