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Individual

ROBERT PAUL RIEKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9801465
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
9801465
NC
208VP0014X
Interventional Pain Medicine Physician
9801465
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13119
BCBS NC
NC
01
2424354
CIGNA
NC
01
49326
PARTNERS
NC
05
8913119
NC
01
B6657
MEDCOST
NC
Enumeration date
08/31/2006
Last updated
12/11/2007
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