Individual
ROBERT G RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTER ST, USMARIID - MED DIVISION, FREDERICK, MD 21702-9211
(301) 619-4646
(210) 916-2121
Mailing address
5254 BAMBURG CT, FREDERICK, MD 21703-2826
(301) 663-1509
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD-11854
HI
Other
Enumeration date
11/30/2005
Last updated
08/27/2007
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