Organization
PAUL C. RIVARD DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C RIVARD DPM (PRESIDENT)
(865) 558-0006
Entity
Organization
Contact information
Practice address
6311 KINGSTON PIKE STE 10W, KNOXVILLE, TN 37919-4906
(865) 558-0006
(865) 558-9462
Mailing address
6311 KINGSTON PIKE STE 10W, KNOXVILLE, TN 37919-4906
(865) 558-0006
(865) 558-9462
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM295
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3351417
—
TN
Enumeration date
06/24/2010
Last updated
08/24/2016
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