NPI 1164089306

Gregory J Rivenbark, CAA

Practitioner Anesthesiologist Assistant Painesville, OH

Practice location

Address: 7757 Auburn Rd STE 15, Painesville, OH 44077-9604
Phone: (440) 350-0832

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 67000350 (OH)

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Registry record

NPI: 1164089306
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2019
Record last updated: 8 Apr 2020

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.