Individual
SAMANTHA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
Mailing address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2022027040
MO
208M00000X
Hospitalist Physician
Primary
2022027040
MO
Other
Enumeration date
05/24/2019
Last updated
08/02/2022
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