Basic Information
Provider Information
NPI: 1235367053
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIESER
FirstName: GEOFFREY
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 70 MEDICAL CENTER CIRCLE
Address2: SUITE 110
City: FISHERSVILLE
State: VA
PostalCode: 22939
CountryCode: US
TelephoneNumber: 5409325850
FaxNumber: 5409325851
Practice Location
Address1: 70 MEDICAL CENTER CIRCLE
Address2: SUITE 110
City: FISHERSVILLE
State: VA
PostalCode: 22939
CountryCode: US
TelephoneNumber: 5409325850
FaxNumber: 5409325851
Other Information
ProviderEnumerationDate: 07/01/2009
LastUpdateDate: 02/21/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0114X0101259403VAY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery

No ID Information.


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