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Individual
ANDREW RAY RIFFEY
Active
Individual
ANDREW RAY RIFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-112145
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-112145
—
IL
01
—
036112145
IDPA FEE FOR SERVICE
IL
01
—
080113710
UNITED HEALTHCARE RR MEDI
IL
01
—
108735
HEALTH ALLIANCE
IL
01
—
613392200
DOL FECA
IL
01
—
614260006
MEDICARE PART B
IL
01
—
717084
HEALTHLINK
IL
01
—
I33595
TRICARE
IL
Enumeration date
07/13/2005
Last updated
05/10/2024
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