Individual
JOANN O RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9313 MASON MONTGOMERY RD, SUITE 200, MASON, OH 45040
(513) 584-6999
(513) 584-6998
Mailing address
9313 S MASON MONTGOMERY RD, STE. 200, MASON, OH 45040-8081
(513) 584-6999
(513) 584-6998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35074550R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2068444
—
OH
Enumeration date
04/08/2006
Last updated
09/18/2012
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