Individual
MATEO GUARDERAS RIBADENEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3395
(479) 968-2345
(479) 890-7180
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3395
(799) 682-3454
(479) 890-7180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-15224
AR
Other
Enumeration date
06/15/2016
Last updated
10/16/2024
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