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Individual

DR. PETER DAVID RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
177 EVERIDGE ROAD, WINSTON-SALEM, NC 27103
(336) 529-6353
Mailing address
177 EVERIDGE RD, WINSTON SALEM, NC 27103
(336) 529-6353

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
157479
NC

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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