Individual
MR. SAUL MORONI RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4338 W THOMAS RD, 173, PHOENIX, AZ 85040
(602) 429-2239
(602) 559-5436
Mailing address
5622 S 41ST WAY, PHOENIX, AZ 85040-9026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6839
AZ
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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