Individual
DR. JAMES NELSON RILEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
86 DAVIS RD, BANGOR, ME 04401-2311
(207) 992-2205
(207) 992-2207
Mailing address
371 S MAIN ST, SUITE 2, BREWER, ME 04412-2351
(207) 200-1907
(207) 989-0970
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1170
ME
207QG0300X
Geriatric Medicine (Family Medicine) Physician
1170 DO
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123700099
—
ME
Enumeration date
01/18/2007
Last updated
12/17/2015
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