Individual
RILEY MICHAEL EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0001
(417) 836-5000
Mailing address
505 E SAINT LOUIS ST APT 219A, SPRINGFIELD, MO 65806-2500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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