Individual provider · NPI-1
Dennis Rivero, MD
Orthopaedic Surgery · Muskogee, OK
NPI number1619982188
StatusActive
Last updated in NPPESNov 5, 2009
Details
- NPI
- 1619982188
- Entity type
- Individual (NPI-1)
- Name
- Dennis Rivero
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Nov 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 92-336 | NM | Yes |
Practice location
209 S 36th StSuite A
Muskogee, OK 74401-5043
Phone 918-683-8288 · Fax 918-684-2062
Mailing address
Po Box 2818Muskogee, OK 74402-2818
Phone 918-684-2514 · Fax 918-684-2552
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