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Individual

STEVEN PAUL RIVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 MATTHEW ST, SUITE 208, MARIETTA, OH 45750-1644
(740) 568-5466
(740) 568-5468
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
153684
NY
2086S0129X
Vascular Surgery Physician
Primary
35.091388
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0062524
OH
05
00848893
NY
05
3810022726
WV
Enumeration date
10/23/2006
Last updated
08/01/2012
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