Individual
KRISTINE M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4020 JERRY MURPHY ROAD, PUEBLO, CO 81001
(719) 546-3600
(719) 546-0931
Mailing address
4020 JERRY MURPHY ROAD, PUEBLO, CO 81001
(719) 546-3600
(719) 546-0931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40835
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17334349
—
CO
Enumeration date
06/27/2006
Last updated
03/04/2008
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