Individual
MR. JOHN DAVID RISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106
(336) 251-1114
(336) 251-1117
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013VR
—
NC
Enumeration date
04/23/2007
Last updated
08/29/2022
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