Brian R Riveland M.D.

NPI 1093715658 - Internal Medicine - 207R00000X

NPI Details
NPI 1093715658
Gender Male
Enumeration Date 07/26/2005
Last Updated 07/08/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
5620 W THUNDERBIRD RD
F1
GLENDALE AZ, 85306-4636, US
Phone (602) 938-6960
Fax (602) 938-6069
Business Location
5620 W THUNDERBIRD RD
F1
GLENDALE AZ, 85306-4636, US
Phone (602) 938-6960
Fax (602) 938-6069
Toxanomy
Taxonomy Code 207R00000X
License State Arizona
License Number 17030
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According to our database, Brian R Riveland M.D. NPI is 1093715658, taxonomy code is 207R00000X and license number is 17030, license state is located at Arizona. Brian R Riveland M.D. physically located at 5620 W Thunderbird Rd, Glendale AZ, 85306-4636. NPI Number Brian R Riveland M.D. has the Individual type.

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1093715658 NPI number is provided on an as is basis without warranty of any kind. 1093715658 is maintained by the National Plan & Provider Enumeration System. The contents of Brian R Riveland M.D. are for informational purposes only.