Jeremy A. Rieks, PA-C
Physician Assistant, Medical in Englewood, CO. Individual provider (NPI-1).
NPI number1154548824
StatusActive
Last updated in NPPESMay 30, 2012
Details
- NPI
- 1154548824
- Entity type
- Individual (NPI-1)
- Name
- Jeremy A. Rieks
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2007
- Last updated
- May 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA-1719 | CO | Yes |
| 363AM0700X | Physician Assistant, Medical | 1719 | CO |
Practice location
3425 S. ClarksonEnglewood, CO 80113-2811
Phone 303-789-8220 · Fax 303-789-8470
Mailing address
3425 S. ClarksonEnglewood, CO 80113-2811
Phone 303-789-8220 · Fax 303-789-8470
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