Individual
JEFFREY ALEXANDER RIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2D RECONNAISSANCE BATTALION, CAM LEJEUNE, NC 28542-0138
(910) 440-7703
Mailing address
611 WEEPING WILLOW LN, JACKSONVILLE, NC 28540-3197
(650) 483-5385
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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