Individual
RICHARD LEE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
220 US HIGHWAY 395 N, SUITE 303, CARSON CITY, NV 89704-9582
(775) 830-1783
Mailing address
220 US HIGHWAY 395 N, SUITE 303, CARSON CITY, NV 89704-9582
(775) 830-1783
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
CP 1356
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV0362
BCBS
NV
Enumeration date
06/19/2006
Last updated
12/02/2014
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