Rieker, Mark Garrett

Rieker, Mark Garrett is an individual health care provider with primary practice located at 7219 N Litchfield Rd 56Th Medical Group, Luke Afb AZ 85309-1529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rieker, Mark Garrett can be contacted via phone (623) 856-4396.

Contact Information

Primary practice address
7219 N Litchfield Rd 56Th Medical Group Luke Afb AZ 85309-1529
Phone: (623) 856-4396
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01054970A Indiana

Profile Details

NPI number 1558350926
LBN Legal business name Rieker, Mark Garrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jun 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558350926 NPPES
Indiana Other 01054970A STATE MEDICAL LICENSE

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