Organization
RIVERA PHYSICIAN PLLC
Active
Organization
RIVERA PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMAS RIVERA BONILLA MD (CARDIOLOGIST)
(602) 281-5943
Entity
Organization
Contact information
Practice address
4345 E ALISO CYN, PHOENIX, AZ 85044-5582
(602) 281-5943
Mailing address
4345 E ALISO CYN, PHOENIX, AZ 85044-5582
(602) 281-5943
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
44459
AZ
Other
Enumeration date
12/09/2016
Last updated
02/21/2017
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