Individual
CRISTOBAL N RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
91 PINE STREET, FRANKLIN, WV 26807
(304) 263-0811
(304) 358-3641
Mailing address
PO BOX 1380, FRANKLIN, WV 26807-1380
(304) 263-0811
(304) 358-3641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01101
WV
Other
Enumeration date
09/01/2006
Last updated
02/27/2017
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