Individual
JARRETT EDWARD STEWART RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9780 S ESTRELLA PKWY, GOODYEAR, AZ 85338-7114
(623) 474-8101
(623) 474-8135
Mailing address
9780 S ESTRELLA PKWY, GOODYEAR, AZ 85338-7114
(623) 474-8101
(623) 474-8135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
008756
AZ
208000000X
Pediatrics Physician
O-0862
ID
208000000X
Pediatrics Physician
OP60536051
WA
Other
Enumeration date
05/03/2011
Last updated
05/01/2023
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