person
Wilben Andy Lariviere, PA
Medical Physician Assistant in Mesa, Arizona
NPI 1154076933

Wilben Andy Lariviere is a Medical Physician Assistant based in Mesa, AZ and is specialized in Medical. Wilben Andy Lariviere practices in Mesa, AZ and has the professional credentials of PA. The NPI Number for Wilben Andy Lariviere is 1154076933 and holds a License No. 1212-P.A. (Arizona).

The current practice location address for Wilben Andy Lariviere is 2045 S Vineyard Ste 119, Mesa, AZ and can be reached out via phone at 480-300-4646 and via fax at 480-300-4646.

Location: 2045 S Vineyard Ste 119, Mesa, AZ, 85210-6890
person
Provider Profile Details
NPI Number
1154076933
Provider Name
Wilben Andy Lariviere
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2045 S Vineyard Ste 119, Mesa, AZ, 85210-6890
Phone Number
480-300-4646
Fax Number
480-300-4646
Provider Enumeration Date
02/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2045 S Vineyard Ste 119
City
State
Zip
85210-6890
Phone Number
480-300-4646
Fax Number
480-300-4646
person
Provider Business Mailing Address Details
Address
2045 S Vineyard Ste 119
City
State
Zip
85210-6890
Phone Number
480-300-4646
Fax Number
480-300-4646
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1212-P.A. ()
Definition
Definition to come...
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