Individual
PETER MICHAEL RIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
454 W. ROSEBERRY RD, SUITE 103, DONNELLY, ID 83615-0000
(208) 382-4285
Mailing address
PO BOX 1330, CASCADE, ID 83611-1330
(208) 382-4242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2711
ID
363A00000X
Physician Assistant
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Other
Enumeration date
06/10/2022
Last updated
02/14/2025
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