Individual
COLIN M RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5156
Mailing address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5156
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
04/17/2025
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