Individual
DR. DANA G RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
(719) 543-5340
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34879
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01348796
—
CO
Enumeration date
06/27/2006
Last updated
01/07/2014
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