Individual
CHRISTIE LEE RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
925 CHESTNUT ST FL 5, PHILADELPHIA, PA 19107-4206
(267) 339-3500
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4414
(267) 297-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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