Organization
THUNDERBIRD INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RIVELAND MD (PRESIDENT)
(602) 938-6960
Entity
Organization
Contact information
Practice address
9150 W INDIAN SCHOOL, SUITE 118, PHOENIX, AZ 85037
(602) 938-6960
(602) 938-6069
Mailing address
5620 W THUNDERBIRD RD STE F1, GLENDALE, AZ 85306-4652
(602) 938-6960
(602) 938-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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