Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0437177 | KS |
Y | 207QS0010X | Family Doctor - Sports Medicine | 04-37177 | KS |
NPI | 1093031585 |
---|---|
Provider Name | Dr. Pamela Jane Rizza |
First Address | Atchison, KS 66002-9268 |
Second Address | Atchison, KS 66002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2010 |
Last Update Date | 25/02/2020 |