Individual
DR. MINERVA C CONCEPCION-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 EAST LOCKLING AVENUE, BROOKFIELD, MO 64628
(660) 258-3324
(660) 258-8243
Mailing address
125 EAST LOCKLING AVENUE, BROOKFIELD, MO 64628
(660) 258-3324
(660) 258-8243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4A80
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201243904
—
MO
Enumeration date
07/07/2005
Last updated
07/11/2013
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