Organization · NPI-2

Dennis Rivero, MD, INC., PC

Orthopaedic Surgery · Muskogee, OK

NPI number1972899144
StatusActive
Last updated in NPPESJun 25, 2011

Details

NPI
1972899144
Entity type
Organization (NPI-2)
Legal business name
Dennis Rivero, MD, INC., PC
Organization subpart
No
Enumeration date
Jun 25, 2011
Last updated
Jun 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery25366OKYes
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery25366OK

Practice location

209 S 36th St
Muskogee, OK 74401-5043

Phone 918-682-7717 · Fax 918-682-9434

Mailing address

209 S 36th St
Muskogee, OK 74401-5043

Phone 918-682-7717 · Fax 918-682-9434

Authorized official

Dennis Palmer Rivero
Owner
9186827717

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