Individual
TRACIE JEAN RIEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17025 SNOWMOBILE LN STE 102, EAGLE RIVER, AK 99577-7044
(907) 694-9553
(907) 694-9585
Mailing address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
(907) 864-4625
(907) 313-1540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
717
AK
Other
Enumeration date
04/06/2007
Last updated
11/27/2023
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