Individual
MS. DANA M RIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5133
Mailing address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1612
NH
363A00000X
Physician Assistant
5601007747
MI
363A00000X
Physician Assistant
PA2354
ME
363A00000X
Physician Assistant
PA5185
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093118960
—
ME
Enumeration date
10/06/2014
Last updated
06/16/2022
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