Individual
TOM RIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 E 3900 S, MILLCREEK, UT 84124-1300
(801) 268-7111
Mailing address
2841 E 2100 S, SALT LAKE CITY, UT 84109-1446
(310) 403-9493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9754454-8900
UT
Other
Enumeration date
08/11/2021
Last updated
03/23/2022
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