Individual
JOHN RANDALL RIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107 14TH AVE SE STE 300, DECATUR, AL 35601-3368
(256) 350-0362
Mailing address
1107 14TH AVE SE STE 300, DECATUR, AL 35601-3368
(256) 350-0362
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
00020616
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
00020616
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030115
—
AL
01
—
200028475
RAILROAD MEDICARE
—
01
—
51030115
BLUECROSS BLUESHIELD AL
AL
Enumeration date
11/16/2006
Last updated
10/11/2022
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