Organization
WALTER J RILEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER JAMES RILEY MD (PRESIDENT)
(515) 244-9950
Entity
Organization
Contact information
Practice address
315 UNIVERSITY, DES MOINES, IA 50314-3128
(515) 244-9950
(515) 244-5933
Mailing address
315 UNIVERSITY, DES MOINES, IA 50314-3128
(515) 244-9950
(515) 244-5933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
010644
GA
208600000X
Surgery Physician
Primary
19292
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195636
—
IA
Enumeration date
03/06/2007
Last updated
08/22/2020
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