| Doctor Name: | DR. BRUCE ANTHONY RIVERS |
| NPI Number: | 1598893596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D64536 |
| Business Practice Address: | 1061 Harmon Ave Winn Army Comminuty Hospital (ophthalmology) Fort Stewart, GA - 313145641 |
| Business Phone Number: | 9124355696 |
| Business Fax Number: | 9124355950 |
| Mailing Address: | 1061 Harmon Ave, Winn Army Comminuty Hospital (ophthalmology) FORT STEWART |
| State: | GA |
| Postal Code: | 313145641 |
| Phone Number: | 9124355696 |
| Fax Number: | 9124355950 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 08/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D64536 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |