NPI 1912368119

Kevin Richard Wayne Riegle, ATC

Practitioner Other Specialist/Technologist Glendale, AZ

Practice location

Address: 18424 N 51st Ave, Glendale, AZ 85308-1443
Phone: (602) 618-5443
Mailing address: 7397 W Topeka Dr, Glendale, AZ 85308-5608

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 0517 (AZ)

Other Specialist/Technologist, Other providers in Arizona →

Registry record

NPI: 1912368119
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2016
Record last updated: 15 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.