Individual
GREGORY KEITH RIFFLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
135 N EWING ST, SUITE 305, LANCASTER, OH 43130-3382
(740) 681-9447
(740) 681-9966
Mailing address
135 N EWING ST, SUITE 305, LANCASTER, OH 43130-3382
(740) 681-9447
(740) 681-9966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34011676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H350200
MEDICARE PTAN
OH
Enumeration date
02/27/2013
Last updated
08/04/2016
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