Individual
PHILLIP J RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
301 MED TECH PKWY STE 106, JOHNSON CITY, TN 37604-2631
(423) 434-6410
(423) 232-8576
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 434-6410
(423) 232-8576
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD653
TN
Other
Enumeration date
02/14/2006
Last updated
02/21/2025
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