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Individual

MR. DONALD LEON RILEY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
100 COMMUNITY HEALTH DR., SUITE 101, EUFALA, OK 74432
(918) 689-9130
Mailing address
100 COMMUNITY HEALTH DR., SUITE 101, EUFALA, OK 74432
(918) 689-9130

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3693
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100103320D
OK
01
P00747370
MEDICARE RAILROAD
OK
Enumeration date
12/05/2006
Last updated
08/18/2011
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