Organization
DENNIS RIVERO, MD, INC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS PALMER RIVERO M.D. (OWNER)
(918) 682-7717
Entity
Organization
Contact information
Practice address
209 S 36TH ST, MUSKOGEE, OK 74401-5043
(918) 682-7717
(918) 682-9434
Mailing address
209 S 36TH ST, MUSKOGEE, OK 74401-5043
(918) 682-7717
(918) 682-9434
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25366
OK
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
25366
OK
Other
Enumeration date
06/25/2011
Last updated
06/25/2011
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