Individual
MR. MARCOS RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 N. GREENWOOD, SUITE 302, TULSA, OK 74120
(918) 599-7277
(918) 599-7716
Mailing address
2509 W. OCALA STREET, BROKEN ARROW, OK 74011
(918) 645-4903
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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