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Individual

FILMORE ALTEROS RIEGO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410
Mailing address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-04-2709
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000218578
ANTHEM BC/BS
01
0004467241
AETNA
05
0369891
OH
01
0801636
UNITED HEALTHCARE
Enumeration date
02/28/2006
Last updated
07/08/2007
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