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Individual

DR. ROBERT D RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8402 E SHEA BLVD, SUITE 100, SCOTTSDALE, AZ 85260-6635
(480) 661-0700
Mailing address
8402 E SHEA BLVD, SUITE 100, SCOTTSDALE, AZ 85260-6635
(480) 661-0700

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
32789
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2Z2731
HEALTHNET
AZ
05
867301
AZ
01
AZ0783430
BC/BS OF ARIZONA
AZ
01
P00272267
RAIL ROAD MEDICARE
AZ
Enumeration date
07/20/2005
Last updated
07/09/2007
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