Phillip J. Riley MD

NPI 1043284391 - Podiatrist - 213E00000X

NPI Details
NPI 1043284391
Gender Male
Enumeration Date 02/14/2006
Last Updated 11/05/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
325 N STATE OF FRANKLIN RD
THIRD FLOOR
JOHNSON CITY TN, 37604-6062, US
Phone (423) 439-7201
Fax (423) 439-7219
Business Location
P.O.BOX 699
MOUNTAIN HOME TN, 37684-0699, US
Phone (423) 439-7201
Fax (423) 439-7219
Toxanomy
Taxonomy Code 213E00000X
License State Tennessee
License Number MD653
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According to our database, Phillip J. Riley MD NPI is 1043284391, taxonomy code is 213E00000X and license number is MD653, license state is located at Tennessee. Phillip J. Riley MD physically located at 325 N State Of Franklin Rd, Johnson City TN, 37604-6062. NPI Number Phillip J. Riley MD has the Individual type.

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1043284391 NPI number is provided on an as is basis without warranty of any kind. 1043284391 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip J. Riley MD are for informational purposes only.