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Dr. Justin Jose Rivera, DPM
Foot & Ankle Surgery Podiatrist in Grass Valley, California
NPI 1073960522

Justin Jose Rivera is a Foot & Ankle Surgery Podiatrist based in Grass Valley, CA and is specialized in Foot & Ankle Surgery. Justin Jose Rivera practices in Grass Valley, CA and has the professional credentials of DPM. The NPI Number for Justin Jose Rivera is 1073960522 and holds a License No. E5546 (California).

The current practice location address for Justin Jose Rivera is 104 Margaret Ln Ste A, Grass Valley, CA and can be reached out via phone at 530-648-1234 and via fax at 530-648-1235.

Location: 104 Margaret Ln Ste A, Grass Valley, CA, 95945-5261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073960522
Provider Name
Justin Jose Rivera
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
104 Margaret Ln Ste A, Grass Valley, CA, 95945-5261
Phone Number
530-648-1234
Fax Number
530-648-1235
Provider Enumeration Date
05/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Margaret Ln Ste A
City
Grass Valley
State
California
Zip
95945-5261
Phone Number
530-648-1234
Fax Number
530-648-1235
person
Provider Business Mailing Address Details
Address
104 Margaret Ln Ste A
City
Grass Valley
State
California
Zip
95945-5261
Phone Number
530-648-1234
Fax Number
530-648-1235
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E5546 (California)
Definition
Definition to come...
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