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Organization

BRYAN RIVERA MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM BRYAN RIVERA MD (PRESIDENT)
(760) 278-9477
Entity
Organization

Contact information

Practice address
18144 US HIGHWAY 18 STE 130, APPLE VALLEY, CA 92307-2219
(760) 278-9477
Mailing address
12277 APPLE VALLEY RD, #450, APPLE VALLEY, CA 92308-1702
(760) 278-9477
(760) 813-7004

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A111003
CA

Other

Enumeration date
08/14/2014
Last updated
03/22/2024
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