Individual
MICHAEL J RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16290 E QUINCY AVE, AURORA, CO 80015-1594
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
940
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009652
KAISER COMMERCIAL NUMBER
CO
05
—
04735501
—
CO
Enumeration date
02/27/2007
Last updated
05/06/2021
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