Individual
DR. ROGER KENT RIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HEALTH CENTER DR, SUITE 305, MATTOON, IL 61938-9258
(217) 258-4186
(217) 258-4185
Mailing address
1005 HEALTH CENTER DR, SYSTEM PRACTICES, MATTOON, IL 61938-4693
(217) 258-2576
(217) 258-4175
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036061773
IL
Other
Enumeration date
07/27/2006
Last updated
03/23/2012
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