John Edward Riley in Orofino - Adult Medicine

John Edward Riley - NPI 1366503955

John Edward Riley is a Adult Medicine in Orofino, Idaho. John Edward Riley practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for John Edward Riley is 1366503955. The last update date is 2007-07-08.

John Edward Riley's current location address is 300 Hospital Dr, Orofino, Idaho. You can contact this provider via phone number 2084764511 and fax number 2084767898. The mailing address for John Edward Riley is 300 Hospital Dr, Orofino, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edward Riley
Address 300 Hospital Dr, Orofino, Idaho
Phone Number 2084764511
Fax Number 2084767898
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1366503955
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 300 Hospital Dr
City Orofino
State Idaho (ID)
Post Code 835449034
Phone Number 2084764511
Fax Number 2084767898

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No M-4996
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

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FAQs about John Edward Riley

What is the John Edward Riley's 1366503955?

The John Edward Riley's NPI (National Provider Identifier) Number is 1366503955. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John Edward Riley's physical address?

The John Edward Riley is physically located at 300 Hospital Dr, in the city of Orofino, ID, with the postal code 835449034.

What is John Edward Riley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Edward Riley's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.

On what date did the John Edward Riley receive the assignment of its 1366503955 from the Centers for Medicare & Medicaid Services?

The John Edward Riley was issued its 1366503955 by the Centers for Medicare & Medicaid Services on 2006-12-13.

When was the information related to John Edward Riley most recently updated or refreshed?

The details pertaining to the John Edward Riley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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