Individual
ALEXANDER RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-2400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-2400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35512
NE
Other
Enumeration date
08/13/2021
Last updated
10/17/2024
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