Individual
MICHAEL RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 SW 131ST TER, OKLAHOMA CITY, OK 73170-6993
(405) 990-8077
Mailing address
1333 SW 131ST TER, OKLAHOMA CITY, OK 73170-6993
(405) 990-8077
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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