Individual
DR. GEORGENNA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12301 SNOW RD, PARMA, OH 44130-1002
(216) 621-5600
(216) 479-5554
Mailing address
1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 44114-1158
(216) 479-5541
(216) 479-5554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34-007018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1204563
—
OH
Enumeration date
09/01/2006
Last updated
07/08/2007
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