Individual
RAUL RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7600 N 15TH ST STE 100, PHOENIX, AZ 85020-4330
(602) 704-2345
(602) 704-2399
Mailing address
1 N 1ST ST FL 7, PHOENIX, AZ 85004-2357
(602) 704-2345
(602) 704-2399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8351
AZ
363AM0700X
Medical Physician Assistant
8351
AZ
Other
Enumeration date
01/25/2021
Last updated
03/08/2022
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