Individual
RILEY DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3141
Mailing address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(760) 382-4281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O-1679
ID
208M00000X
Hospitalist Physician
O-1679
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/01/2019
Last updated
01/06/2026
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