Individual
CHARLES RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 424-7711
Mailing address
23233 E 1130 RD, CORN, OK 73024-5008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0066870
OK
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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