Individual
MR. JOSEPH RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED SURGICAL
Contact information
Practice address
8111 WINDERSGATE CIR, OLIVE BRANCH, MS 38654-1209
(662) 216-0563
Mailing address
8111 WINDERSGATE CIR, OLIVE BRANCH, MS 38654-1209
(662) 216-0563
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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