Individual
DR. GEOFFREY D RIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3155 MAPLEWOOD AVENUE, WINSTON SALEM, NC 27103
(336) 794-4372
(336) 659-2379
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5000
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31368
NC
2085R0204X
Vascular & Interventional Radiology Physician
31368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8971852
—
NC
Enumeration date
05/08/2006
Last updated
09/14/2016
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