Individual
GARY S. RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7 MAIN ST, TURNER, ME 04282-4138
(207) 524-3501
(207) 225-2692
Mailing address
180 CHURCH HILL RD, STE 1, LEEDS, ME 04263-3418
(207) 524-3501
(207) 524-2093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2113
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434323099
—
ME
Enumeration date
10/27/2006
Last updated
06/25/2021
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