NPI 1114705340
Riverstone Medical LLC
Practice location
- Address
- 6910 E 111th Pl S, Bixby, OK 74008-2066
- Phone
- (918) 955-9026
Authorised official
- Name
- Melissa Luiskutty
- Title
- Administrator
- Phone
- (918) 955-9026
Registered specialties (3)
Nursing Facility/Intermediate Care Facility
Primary
Primary Care Clinic/Center
Skilled Nursing Facility
Registry record
- NPI
- 1114705340
- Entity type
- Organization
- NPI issued
- 19 Sep 2023
- Record last updated
- 19 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.