Individual
JEFFREY RIEKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(951) 737-4343
Mailing address
PO BOX 148, CLAREMONT, CA 91711-0148
(909) 985-2112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G44862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G448620
—
CA
Enumeration date
05/25/2006
Last updated
07/08/2007
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