# RIVERVIEW MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497204465
- **Authorized official:** MICHELLE PAPPY M.D. (SOLE OWNER)
- **Authorized official phone:** (405) 543-4758

## Contact information

- **Practice address:** 2400 EDISON ST, BRUSH, CO 80723-1640
- **Practice address phone:** (702) 453-3799
- **Practice address fax:** (702) 453-5741
- **Mailing address:** 2660 CRIMSON CANYON DR STE 130, LAS VEGAS, NV 89128-0846
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DR0057542 | CO | — |
| 207Q00000X | Family Medicine Physician | MD60687206 | WA | Yes |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 06/11/2020