Individual
AUTUMN MARIE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 978-9328
Mailing address
5843 ALBERTA DR, LYNDHURST, OH 44124-3910
(216) 978-9328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008917RX
OH
Other
Enumeration date
08/14/2024
Last updated
11/10/2025
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