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1770570723
SCOTT RIISE
TRAVIS AFB, CA
NPI
1770570723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: PA MD065261L)
Enumeration Date
2005-10-04
Last Update Date
2007-07-08
Business Address
Dr. SCOTT RIISE M.D.
101 BODIN CIR 60TH MDOS/SGOL
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-7372
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Mailing Address
Dr. SCOTT RIISE M.D.
3005 PUFFIN CIR
FAIRFIELD, CA 94533-8913
Phone number: 850-499-5305
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