Individual
DR. P. THOMAS RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 COLLEGE AVE, UNIVERSITY OF MARY WASHINGTON, FREDERICKSBURG, VA 22401-5300
(540) 654-1040
(540) 654-1077
Mailing address
1301 COLLEGE AVE, UNIVERSITY OF MARY WASHINGTON, FREDERICKSBURG, VA 22401-5300
(540) 654-1040
(540) 654-1077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101028442
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100420
UNTIED HEALTHCARE
VA
01
—
10490
CIGNA
VA
01
—
116049
ANTHEM
VA
01
—
52955
OPTIMA
VA
01
—
540189
AETNA
VA
01
—
540883363
PREFERRED CARE
VA
05
—
5633826
—
VA
01
—
82539
SOUTHERN HEALTH
VA
01
—
856726
MAMSI
VA
Enumeration date
05/12/2006
Last updated
11/06/2015
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