Individual
MRS. DIANA SUE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
628 HOSPITAL DR, SUITE G-C, MOUNTAIN HOME, AR 72653-2953
(870) 508-5010
(870) 508-5020
Mailing address
628 HOSPITAL DR, SUITE G-C, MOUNTAIN HOME, AR 72653-2953
(870) 508-5010
(870) 508-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA207
AR
Other
Enumeration date
09/13/2008
Last updated
09/13/2008
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