Provider Demographics
NPI:1437182730
Name:RIFFE, DUFFY ALAN (PA-C)
Entity type:Individual
Prefix:
First Name:DUFFY
Middle Name:ALAN
Last Name:RIFFE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 LONG SHOALS RD STE 203
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8794
Mailing Address - Country:US
Mailing Address - Phone:828-213-9090
Mailing Address - Fax:288-213-9091
Practice Address - Street 1:310 LONG SHOALS RD STE 203
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8794
Practice Address - Country:US
Practice Address - Phone:828-213-9090
Practice Address - Fax:828-213-9091
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC100979363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2745756BMedicare PIN
NCR49040Medicare UPIN