Individual
RICHARD H NIERENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006
(602) 251-8316
Mailing address
32531 N SCOTTSDALE RD STE 102-213, SCOTTSDALE, AZ 85266-1519
(601) 251-8316
(480) 333-5165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44026
AZ
208M00000X
Hospitalist Physician
Primary
44026
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09553865
—
MS
05
—
1419486
—
LA
05
—
279981200
—
FL
01
—
640507572YM
AMERICAN ADMIN GROUP
MS
Enumeration date
08/20/2006
Last updated
01/22/2019
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