Individual
MELISSA KATE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 857-1379
Mailing address
3614 E 55TH ST, TULSA, OK 74135-3812
(918) 857-1379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8133
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
05/20/2021
Last updated
02/22/2024
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