Individual
DR. EDWARD CLARK RILEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 596-4000
Mailing address
255 NORTH 30TH STREET, IVINSON MEMORIAL HOSPITAL, LARAMIE, WY 82072
(307) 742-2141
(307) 742-9419
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7932A
WY
207Q00000X
Family Medicine Physician
Primary
05-37428
KS
207Q00000X
Family Medicine Physician
DO624
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009917200
—
AL
01
—
080155685
RAILROAD
—
01
—
51045390
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/11/2006
Last updated
02/19/2025
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