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Individual
DR. EDWARD CLARK RILEY III
Active
Individual
DR. EDWARD CLARK RILEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7932A
WY
207Q00000X
Family Medicine Physician
Primary
05-37428
KS
207Q00000X
Family Medicine Physician
DO624
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009917200
—
AL
01
—
080155685
RAILROAD
—
01
—
51045390
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/11/2006
Last updated
02/19/2025
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