Individual
DANIEL MARK RIESENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30037 N WHIPSAW RD, 101, PEORIA, AZ 85383-5195
(623) 238-8890
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 263-4722
(928) 263-4794
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
12281
NV
208800000X
Urology Physician
Primary
23718
AZ
208800000X
Urology Physician
G31678
CA
208800000X
Urology Physician
K4210
TX
Other
Enumeration date
02/27/2006
Last updated
03/20/2019
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