STEVEN THOMAS RIVERA

JBSA LACKLAND, ZZ
NPI1386214922
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: TX  U7264)
Additional Taxonomies171000000X Military Health Care Provider
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-27
Last Update Date2023-11-30
Business Address
Dr. STEVEN THOMAS RIVERA DO
1100 WILFORD HALL LOOP
JBSA LACKLAND, ZZ
Phone number: 760-766-6150
Mailing Address
Dr. STEVEN THOMAS RIVERA DO
1100 WILFORD HALL LOOP
JBSA LACKLAND, ZZ
Phone number: 760-766-6150