Individual provider · Type 1 NPI
Elizabeth J. Riedel, PA-C
Medical Physician Assistant · Espanola, NM
NPI number
1891788253
Active
Practice location
1111 El Llano Rd
Espanola, NM 87532-6727
Fax (505) 753-5815
Mailing address
PO Box 158, 538 N. Paseo De Onate
Espanola, NM 87532-0158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 77-PA007 (NM) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Espanola
About NPI 1891788253
Elizabeth J. Riedel, PA-C's National Provider Identifier is 1891788253, issued on Aug 31, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Espanola, NM. The record was last updated on Jul 1, 2013.