Individual
DR. RICHARD RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3517 W OWEN K GARRIOTT RD STE 4, ENID, OK 73703-4953
(580) 233-5553
(580) 233-5641
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(580) 233-5553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16140
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106000A
—
OK
Enumeration date
10/12/2006
Last updated
08/19/2019
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