Individual
AVNER R GRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 E DRINKER ST REAR, SUITE 203, DUNMORE, PA 18512-2469
(570) 558-2050
(570) 558-2056
Mailing address
414 E DRINKER ST REAR, SUITE 203, DUNMORE, PA 18512-2469
(570) 558-2050
(570) 558-2056
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD059273L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016088840015
—
PA
01
—
826760
FIRST PRIORITY HEALTH
PA
Enumeration date
07/29/2005
Last updated
12/13/2021
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