Individual
DR. SAMUEL RIASE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
535 JACK WARNER PKWY NE, G-2, TUSCALOOSA, AL 35404-5751
(205) 507-1264
(205) 507-1266
Mailing address
535 JACK WARNER PKWY NE, G-2, TUSCALOOSA, AL 35404-5751
(205) 507-1264
(205) 507-1266
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
53
AL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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