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1710151303
EDGARDO D RIVERA-RIVERA
FORT WAYNE, IN
NPI
1710151303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: IN 01081050A)
Enumeration Date
2008-04-15
Last Update Date
2023-01-04
Business Address
Dr. EDGARDO D RIVERA-RIVERA M.D.
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845-1707
Phone number: 260-425-6100
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Mailing Address
Dr. EDGARDO D RIVERA-RIVERA M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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