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Richard Rivera Mdpc
Urgent Care Clinic/Center in Canon City, Colorado
NPI 1679153480

Richard Rivera Mdpc is a Urgent Care Clinic/Center based in Canon City, CO and is specialized in Urgent Care. Richard Rivera Mdpc practices in Canon City, CO. The NPI Number for Richard Rivera Mdpc is 1679153480 and holds a License No. (Colorado).

The current practice location address for Richard Rivera Mdpc is 127 Justice Center Rd Ste J, Canon City, CO and can be reached out via phone at 719-269-1136 and via fax at 719-269-1186.

Location: 127 Justice Center Rd Ste J, Canon City, CO, 81212-9378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679153480
Provider Name
Richard Rivera Mdpc
Credential
Provider Entity Type
Organization
Address
127 Justice Center Rd Ste J, Canon City, CO, 81212-9378
Phone Number
719-269-1136
Fax Number
719-269-1186
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61024821 05 CO
institution
Provider Business Practice Location Address Details
Address
127 Justice Center Rd Ste J
City
Canon City
State
Colorado
Zip
81212-9378
Phone Number
719-269-1136
Fax Number
719-269-1186
person
Provider Business Mailing Address Details
Address
127 Justice Center Rd Ste J
City
Canon City
State
Colorado
Zip
81212-9378
Phone Number
719-269-1136
Fax Number
719-269-1186
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
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Definition
Definition to come...
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