Individual
SEAN PATRICK MARSHALL RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
Mailing address
99 CRACKER BARREL DR STE 100, BARBOURSVILLE, WV 25504-1650
(304) 525-7851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104996
WV
Other
Enumeration date
10/07/2020
Last updated
09/04/2024
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