Organization
PEPITO C & MINERVA C RIVERA PTR
Active
Other names
Rivera & Concepcion Med Assoc PTSHP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEPITO C RIVERA MD (GEN PTR)
(660) 258-3324
Entity
Organization
Contact information
Practice address
308 N MAIN ST, BROOKFIELD, MO 64628-1601
(660) 258-3324
(660) 258-3325
Mailing address
308 N MAIN ST, BROOKFIELD, MO 64628-1601
(660) 258-3324
(660) 258-3325
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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