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Individual
JOHN M RILEY
Active
Individual
JOHN M RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008329L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000686607
HIGHMARK BLUE SHIELD
PA
05
—
001516068
—
PA
01
—
03218901
CAPITAL BLUE CROSS
PA
01
—
0686606
KEYSTONE CENTRAL
PA
01
—
0791567000
PERSONAL CHOICE
PA
01
—
2108266
AETNA
PA
01
—
P00150116
RAILROAD MEDICARE
PA
Enumeration date
07/24/2006
Last updated
08/15/2016
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