Individual
DANIEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
(208) 302-2625
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101023796
MI
208600000X
Surgery Physician
Primary
O-2014
ID
Other
Enumeration date
05/11/2018
Last updated
06/20/2024
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