Individual
DR. PAMELA RAE DEANE RILEY
Active
Individual
DR. PAMELA RAE DEANE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD., CCC-A
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
23002137A
IN
237600000X
Audiologist-Hearing Aid Fitter
3501002824
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000247031
ANTHEM PROVIDER
IN
Enumeration date
08/31/2006
Last updated
07/09/2007
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