Organization
RIVERA PAIN CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDOUARD E RIVERA MD (STATUTORY AGENT)
(949) 723-9603
Entity
Organization
Contact information
Practice address
5151 E PINCHOT AVE, PHOENIX, AZ 85018-7910
(949) 723-9603
(949) 209-3016
Mailing address
5151 E PINCHOT AVE, PHOENIX, AZ 85018-7910
(949) 723-9603
(949) 644-2377
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/24/2021
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