Basic Information
Provider Information
NPI: 1285029975
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIEGER
FirstName: CAROLINE
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Mailing Information
Address1: 3800 RESERVOIR RD NW
Address2: DEPARTMENT OF OTOLARYNGOLOGY
City: WASHINGTON
State: DC
PostalCode: 200072113
CountryCode: US
TelephoneNumber: 2024448766
FaxNumber:  
Practice Location
Address1: 7373 PERKINS RD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708084373
CountryCode: US
TelephoneNumber: 2257694044
FaxNumber: 2252469100
Other Information
ProviderEnumerationDate: 03/31/2015
LastUpdateDate: 09/04/2020
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
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IsSoleProprietor: Y
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NPICertificationDate: 09/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X322991LAY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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