Organization
UNDA-RIVERA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL FRANCISCO UNDA-RIVERA MD (OWNER)
(573) 359-3660
Entity
Organization
Contact information
Practice address
907 E REED ST, HAYTI, MO 63851-1242
(573) 359-3660
(573) 359-3521
Mailing address
105 RUSSELL ST, P. O. BOX 393, HAYTI, MO 63851-1300
(573) 359-2930
(573) 359-1304
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2011024431
MO
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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