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Individual

JOHN EDWARD RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 HOSPITAL DR, OROFINO, ID 83544-9034
(208) 476-4511
(208) 476-7898
Mailing address
300 HOSPITAL DR, OROFINO, ID 83544-9034
(208) 476-4511
(208) 476-7898

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
M-4996
ID

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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