Individual
RICHARD RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1100 W 3RD ST, LITTLE ROCK, AR 72201-2008
(501) 371-0022
(501) 371-0810
Mailing address
1100 W 3RD ST, LITTLE ROCK, AR 72201-2008
(501) 371-0022
(501) 371-0810
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
887
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14434000040
QUALCHOICE
AR
01
—
350022129
RAID ROAD MEDICARE
—
01
—
59798
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
08/08/2006
Last updated
12/23/2013
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