Individual
DR. ROBERT RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3430
(602) 406-2340
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81038
AZ
2085R0202X
Diagnostic Radiology Physician
MD61297110
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81038
TRAINING PERMIT
AZ
Enumeration date
04/18/2008
Last updated
12/03/2024
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