Individual
RICHARD L REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
40 E MARKET ST, BLAIRSVILLE, PA 15717-1370
(724) 459-3411
(724) 459-3412
Mailing address
40 E MARKET ST, BLAIRSVILLE, PA 15717-1370
(724) 459-3411
(724) 459-3412
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003861
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015223780005
—
PA
Enumeration date
07/28/2006
Last updated
07/08/2007
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