Individual
MARC ANDREW RIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8899 UNIVERSITY CENTER LN STE 230, SAN DIEGO, CA 92122
(858) 657-5350
(858) 534-2606
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A75551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A755510
—
CA
Enumeration date
07/19/2006
Last updated
10/18/2018
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