Individual
CLIFFORD RUDI RIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 LEROY GEORGE DR, STE X, CLYDE, NC 28721-7430
(828) 452-8346
(828) 452-8338
Mailing address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(919) 256-3576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9800678
NC
2085R0202X
Diagnostic Radiology Physician
Primary
9800678
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891184G
—
NC
Enumeration date
07/15/2005
Last updated
12/12/2024
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