Individual
JUSTIN AARON RIVERA PATAWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 BRYAN DR STE 201, DURANT, OK 74701-2157
(580) 924-5500
(580) 924-1991
Mailing address
1400 BRYAN DR STE 201, DURANT, OK 74701-2157
(580) 924-5500
(580) 924-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9126
OK
Other
Enumeration date
04/18/2024
Last updated
12/04/2025
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