NPI 1639113228

Eugenio Rivera Reveron, MD

Practitioner Anesthesiology Physician Gallup, NM

Practice location

Address: 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1421
Mailing address: P.O. Box 1337, Gallup, NM 87305-1337

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 011196 (PR)

Other Anesthesiology providers in New Mexico →

Registry record

NPI: 1639113228
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2006
Record last updated: 23 Jul 2012

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.