Organization
D E RILEY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E RILEY MD (OWNER)
(216) 288-2220
Entity
Organization
Contact information
Practice address
4829 GALAXY PKWY, WARRENSVILLE HEIGHTS, OH 44128-5900
(216) 288-2220
Mailing address
4829 GALAXY PKWY, WARRENSVILLE HEIGHTS, OH 44128-5900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699721
—
OH
Enumeration date
07/08/2014
Last updated
07/08/2014
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