Individual
JACOB RIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
69060
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
ME 103069
FL
Other
Enumeration date
06/28/2007
Last updated
08/27/2024
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