Individual
MR. SCOTT DAVID RIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1018 S MAIN ST, TAYLOR, PA 18517-2104
(570) 562-1955
(570) 562-3436
Mailing address
1018 S MAIN ST, TAYLOR, PA 18517-2104
(570) 562-1955
(570) 562-3436
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC-003760L
PA
213E00000X
Podiatrist
Primary
SC003760L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012968300003
—
PA
01
—
075846
FIRST PRIORITY
PA
Enumeration date
08/14/2006
Last updated
08/29/2022
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