DR. Angel Keith Rivera, OD

NPI #1982972063 in West Plains, Missouri

Provider Information

NPI Number: 1982972063
Entity Type: Individual
Name: DR. Angel Keith Rivera, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 5, 2011
Last Updated: Dec 5, 2011

Practice Location

Address: 1310 PREACHER ROE BLVD # HGW
City: West Plains
State: Missouri
ZIP Code: 65775-2938
Phone: (787) 510-5403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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