Individual
RILEY MARK HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 S ELM PL, SUITE 256, BROKEN ARROW, OK 74012-7877
(918) 449-3720
(918) 449-3725
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15163
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101230A
—
OK
Enumeration date
07/14/2005
Last updated
08/31/2010
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