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Organization
JESSE RILEY DPM PC
Active
Organization
JESSE RILEY DPM PC
Active
Other names
Elevated Foot and Ankle, Summit Foot And Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE ELLSWORTH RILEY DPM (OWNER)
(801) 218-3338
Entity
Organization
Contact information
Practice address
41 N 400 W STE A, PAYSON, UT 84651-2021
(801) 218-3338
(801) 658-5351
Mailing address
41 N 400 W STE A, PAYSON, UT 84651-2021
(801) 218-3338
(801) 658-5351
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9037769-0501
LICENSE
UT
Enumeration date
09/05/2019
Last updated
07/14/2026
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