Individual
WILLIAM GERALD RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1807 COVE AVE, LA GRANDE, OR 97850-3516
(541) 624-3046
Mailing address
1807 COVE AVE, LA GRANDE, OR 97850-3516
(541) 624-3046
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-T-10192869
OR
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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