John Andrew Riley O.D.

NPI 1003997305 - Optometrist - 152W00000X

NPI Details
NPI 1003997305
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
360 N. MAIN ST.
Phone (520) 868-5012
Fax (520) 868-5039
Business Location
PO BOX 1366
FLORENCE AZ, 85232-1366, US
Phone (520) 868-5012
Fax (520) 868-5039
Taxonomy Code 152W00000X
License State Arizona
License Number 1207
Remove 1003997305 NPI Number

According to our database, Dr. John Andrew Riley O.D. NPI is 1003997305, taxonomy code is 152W00000X and license number is 1207, license state is located at Arizona. John Andrew Riley O.D. physically located at 360 N. Main St., Florence AZ, 85232. NPI Number John Andrew Riley O.D. has the Individual type.

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1003997305 NPI number is provided on an as is basis without warranty of any kind. 1003997305 is maintained by the National Plan & Provider Enumeration System. The contents of John Andrew Riley O.D. are for informational purposes only.