Rodney Tyson Riedel in Maple Valley - Sports Medicine
Rodney Tyson Riedel - NPI 1366426405
Rodney Tyson Riedel is a Sports Medicine in Maple Valley, Washington. Rodney Tyson Riedel practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Rodney Tyson Riedel is 1366426405. The last update date is 2017-12-11.
Rodney Tyson Riedel's current location address is 26458 Maple Valley Black Diamond Rd Se, Maple Valley, Washington. You can contact this provider via phone number 4256565577 and fax number 4256565595. The mailing address for Rodney Tyson Riedel is 26458 Maple Valley Black Diamond Rd Se, Maple Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney Tyson Riedel |
|---|---|
| Address | 26458 Maple Valley Black Diamond Rd Se, Maple Valley, Washington |
| Phone Number | 4256565577 |
| Fax Number | 4256565595 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366426405 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2017-12-11 |
Provider Mailing Address Detail
| Address | 26458 Maple Valley Black Diamond Rd Se |
|---|---|
| City | Maple Valley |
| State | Washington (WA) |
| Post Code | 980388350 |
| Phone Number | 4256565577 |
| Fax Number | 4256565595 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD00042699 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the Rodney Tyson Riedel's unique identification number?
The Rodney Tyson Riedel has been assigned the NPI (National Provider Identifier) Number 1366426405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Rodney Tyson Riedel is physically located?
The Rodney Tyson Riedel is situated at the following address: 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 980388350.
What is the Rodney Tyson Riedel's area of specialization and corresponding taxonomy classification?
The Rodney Tyson Riedel's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date was the 1366426405 assigned to Rodney Tyson Riedel?
The Rodney Tyson Riedel was issued its 1366426405 on 2005-12-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Rodney Tyson Riedel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rodney Tyson Riedel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-12-11.