Individual
JOSEF RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 934-8171
Mailing address
2618 ALBEMARLE AVE, RALEIGH, NC 27610-1811
(919) 801-8598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102511
NC
Other
Enumeration date
12/23/2005
Last updated
08/10/2007
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