Individual
DIANE C RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 ALICE PECK DAY DR, LEBANON, NH 03766-2904
(603) 442-5990
(603) 442-5127
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
042-0009796
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE4550
—
VT
Enumeration date
09/20/2005
Last updated
04/14/2017
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