Individual
RILEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 SE MAIN ST STE F, ROSWELL, NM 88203-5423
(575) 623-1616
Mailing address
1600 SE MAIN ST STE F, ROSWELL, NM 88203-5423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/23/2025
Last updated
07/06/2025
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