Individual
MR. WILLIAM F RIESTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8208 LOUISIANA BLVD NE, SUITE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Mailing address
8208 LOUISIANA BLVD NE, SUITE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
81-PA010
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R8285
—
NM
Enumeration date
05/15/2008
Last updated
05/20/2016
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