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Individual
MR. SCOTT DAVID RIEDER
Active
Individual
MR. SCOTT DAVID RIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC-003760L
PA
213E00000X
Podiatrist
Primary
SC003760L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012968300003
—
PA
01
—
075846
FIRST PRIORITY
PA
Enumeration date
08/14/2006
Last updated
08/29/2022
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