Individual
NANCY BARBARA RIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
761 JOHNSONBURG ROAD, SUITE 160, ST. MARYS, PA 15857
(814) 834-4399
(814) 788-8092
Mailing address
763 JOHNSONBURG ROAD, ST. MARYS, PA 15857
(814) 834-4399
(814) 788-8092
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101240588
VA
208000000X
Pediatrics Physician
Primary
MD041387L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012043370004
—
PA
Enumeration date
09/20/2006
Last updated
06/23/2011
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