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Ms. Elizabeth J Riedel, PA-C
Medical Physician Assistant in Espanola, New Mexico
NPI 1891788253

Elizabeth J Riedel is a Medical Physician Assistant based in Espanola, NM and is specialized in Medical. Elizabeth J Riedel practices in Espanola, NM and has the professional credentials of PA-C. The NPI Number for Elizabeth J Riedel is 1891788253 and holds a License No. 77-PA007 (New Mexico).

The current practice location address for Elizabeth J Riedel is 1111 El Llano Rd, Espanola, NM and can be reached out via phone at 505-929-1629 and via fax at 505-753-5815.

Location: 1111 El Llano Rd, Espanola, NM, 87532-0158
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Provider Profile Details
NPI Number
1891788253
Provider Name
Elizabeth J Riedel
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1111 El Llano Rd, Espanola, NM, 87532-0158
Phone Number
505-929-1629
Fax Number
505-753-5815
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM400315 01 NM MEDICARE PTAN
92726 05 NM
institution
Provider Business Practice Location Address Details
Address
1111 El Llano Rd
City
State
Zip
87532-6727
Phone Number
505-929-1629
Fax Number
505-753-5815
person
Provider Business Mailing Address Details
Address
1111 El Llano Rd
City
State
Zip
87532-6727
Phone Number
505-929-1629
Fax Number
505-753-5815
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
77-PA007 (New Mexico)
Definition
Definition to come...
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