Individual
DR. PHILIP ALAN RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5000
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-4470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11812
MT
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
11812
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000094258
PR-BCBS
MT
05
—
1679523427
—
MT
Enumeration date
05/11/2006
Last updated
05/27/2009
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