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DR. STEPHANIE LYNNE RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4564 DRIFTWOOD LN, GREENWOOD, IN 46143-8164
(317) 502-0884
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-9816
(812) 353-5228

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01069356A
IN
207P00000X
Emergency Medicine Physician
4301092010
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301092010
MI

Other

Enumeration date
05/16/2008
Last updated
09/16/2016
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