MEDICARE: DR. JOSHUA RIFF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	33868	AZ

General Provider Information

NPI Number	:	1083637474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA RIFF MD

Provider Business Mailing Address
First Line	:	1000 NICOLLET MALL
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-2542
Country	:	US
Telephone Number	:	520-975-6696
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 NICOLLET MALL
Second Line	:	TPS 17-97
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55430
Country	:	US
Telephone Number	:	612-696-3043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/30/2013

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