GREGORY J RIVENBARK

PAINESVILLE, OH
NPI1164089306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: OH  67000350)
Enumeration Date2019-05-23
Last Update Date2020-04-08
Business Address
Mr. GREGORY J RIVENBARK CAA
7757 AUBURN RD STE 15
PAINESVILLE, OH 44077-9604
Phone number: 440-350-0832
Mailing Address
Mr. GREGORY J RIVENBARK CAA
7757 AUBURN RD STE 15
PAINESVILLE, OH 44077-9604
Phone number: 440-350-0832