Individual
JOEL RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 CLAYTON RD, SUITE 216, SAINT LOUIS, MO 63117-1850
(314) 951-5368
(314) 951-5238
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MDR7G19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202754933
—
MO
Enumeration date
07/17/2006
Last updated
10/26/2020
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