Individual
LESLIE A RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 LIONS DR, FAMILY CARE CENTER NORTH LIBERTY, NORTH LIBERTY, IA 52317-9575
(319) 626-5680
(319) 626-5687
Mailing address
3 LIONS DR, FAMILY CARE CENTER NORTH LIBERTY, NORTH LIBERTY, IA 52317-9575
(319) 626-5680
(319) 626-5687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28162
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154245
—
IA
Enumeration date
10/06/2005
Last updated
03/12/2008
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