BRENT RIVA

SPRINGFIELD, IL
NPI1902265754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209013837)
Enumeration Date2016-02-22
Last Update Date2016-02-22
Business Address
-- BRENT RIVA CRNA
701 N 1ST ST ANESTHESIA DEPT
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3755
Mailing Address
-- BRENT RIVA CRNA
701 N 1ST ST ANESTHESIA DEPT
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3755
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