Most Relevant Information
Provider Data
| NPI Number: | 1003263922 |
| Provider Name: | JENNA N RIEG |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/20/2016 |
| Last Updated: | 12/07/2017 |
Provider Practice Location
801 HOWARD AVE
ALTOONA
PA
166014727
Practice Location Phone/Fax
| Phone: | 8148893600 |
| Fax: |
Provider Mailing Location
811 PHILADELPHIA AVE
NORTHERN CAMBRIA
PA
157141334
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |