Search › Idaho › 208G00000X
Fernando Riveron, MD
NPI 1568493427 · on the registry since 2006
Practice
- Address
- 6140 W Curtisian Ave Ste 100
Boise, ID 83704 - Phone
- (208) 302-0130
- Fax
- (208) 302-0135
- Organisation at this address
- N S Support Llc
Kenneth M Little
Michael V Hajjar Md
Timothy J Johans, Md
Richard Lochhead Md PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 66
Additional practice sites
- 425 Pine Ridge Blvd, Wausau, WI
- 425 Pine Ridge Blvd, Wausau, WI
- 2845 Greenbrier Rd, Green Bay, WI
- 1225 Campbell Way Ste 201, Bremerton, WA
Registry record
- Primary taxonomy
- 208G00000X
208G00000X
- Also registered as
- 208G00000X
208G00000X - Licence states on file
- WA, WI, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho