Individual
COURTNEY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2420
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042.0013422
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
03/24/2017
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