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Individual

DYLAN J RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8000 E MAPLEWOOD AVE STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 783-4907
Mailing address
1039 HYLAND DR, EVERGREEN, CO 80439-4813
(970) 640-6478

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0202705
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
0995274
CO

Other

Enumeration date
01/09/2020
Last updated
01/10/2020
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