Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 5551A | WY |
N | 207P00000X | Emergency Physician | 5551A | WY |
Y | 207P00000X | Emergency Physician | D9634 | TX |
N | 207Q00000X | Family Doctor | 5551A | WY |
NPI | 1710984315 |
---|---|
Provider Name | Dr. Franklin Musser Rivers JR. |
First Address | Dickinson, ND 58601-4335 |
Second Address | Dickinson, ND 58601-4335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 13/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1710984315 | (05) | WY |
C21112 | (02) | WY |