Riedel, Rodney Tyson

Riedel, Rodney Tyson is an individual health care provider with primary practice located at 26458 Maple Valley Black Diamond Rd Se , Maple Valley WA 98038-8350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Riedel, Rodney Tyson can be contacted via phone (425) 656-5577.

Contact Information

Primary practice address
26458 Maple Valley Black Diamond Rd Se Maple Valley WA 98038-8350
Phone: (425) 656-5577
Fax: (425) 656-5595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD00042699 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00042699 Washington

Profile Details

NPI number 1366426405
LBN Legal business name Riedel, Rodney Tyson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Dec 11th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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