Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101259403 | VA |
NPI | 1235367053 |
---|---|
Provider Name | Dr. Geoffrey R Rieser |
First Address | Fishersville, VA 22939 |
Second Address | Fishersville, VA 22939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2009 |
Last Update Date | 21/02/2018 |