Riley A Smyth in Green Bay - Diagnostic Radiology
Riley A Smyth - NPI 1275791832
Riley A Smyth is a Diagnostic Radiology in Green Bay, Wisconsin. Riley A Smyth practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Riley A Smyth is 1275791832. The last update date is 2020-03-19.
Riley A Smyth's current location address is 1789 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204992766 and fax number 9204997080. The mailing address for Riley A Smyth is 1789 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Riley A Smyth |
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Address | 1789 Shawano Ave, Green Bay, Wisconsin |
Phone Number | 9204992766 |
Fax Number | 9204997080 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1275791832 |
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Provider Enumeration Date | 2008-05-29 |
Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
Address | 1789 Shawano Ave |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543033243 |
Phone Number | 9204992766 |
Fax Number | 9204997080 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | 4301116329 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
62709-20 | WI | WI LICENSE | |
ABR | AMERICAN BOARD OF RADIOLOGY/DI | ||
4301116329 | MI | MI LICCENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Riley A Smyth by the Centers for Medicare & Medicaid Services?
The Riley A Smyth has been issued the NPI (National Provider Identifier) 1275791832 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Riley A Smyth's facilities are situated?
The facilities of Riley A Smyth are physically located at the following address: 1789 Shawano Ave, Green Bay, WI, 543033243.
What is Riley A Smyth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Riley A Smyth is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Riley A Smyth receive its 1275791832 assignment from the Centers for Medicare & Medicaid Services?
The Riley A Smyth was assigned its 1275791832 by the Centers for Medicare & Medicaid Services on 2008-05-29.
When was the information regarding Riley A Smyth, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Riley A Smyth, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-03-19.
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