Individual
DR. RILEY A SMYTH
Active
Individual
DR. RILEY A SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301116329
MI
2085R0202X
Diagnostic Radiology Physician
Primary
62709
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301116329
MI LICCENSE
MI
01
—
62709-20
WI LICENSE
WI
01
—
ABR
AMERICAN BOARD OF RADIOLOGY/DIAGNOSTIC RADIOLOGY
—
Enumeration date
05/29/2008
Last updated
03/19/2020
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