Search › Arizona › 133V00000X
Jackson Riedeman
NPI 1275321200 · on the registry since 2025 · sole proprietor
Practice
- Address
- 9822 N 1st St
Phoenix, AZ 85020 - Phone
- (320) 309-7399
Additional practice sites
- 9822 N 1st St, Phoenix, AZ
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona