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Individual
MATTHEW TRAVIS RILEY
Active
Individual
MATTHEW TRAVIS RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
103339
NC
363A00000X
Physician Assistant
MA055937
PA
363A00000X
Physician Assistant
Primary
OA003428
PA
363A00000X
Physician Assistant
PA-889
ME
Other
Enumeration date
03/09/2007
Last updated
01/30/2017
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