Individual
BRYAN J RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
10590 N MERIDIAN ST # 105, CARMEL, IN 46290
(317) 583-7800
Mailing address
7517 WIND RIVER DR, SYLVANIA, OH 43560-4319
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10004702A
IN
363AS0400X
Surgical Physician Assistant
50.001875RX
OH
363AS0400X
Surgical Physician Assistant
50001875
OH
Other
Enumeration date
10/05/2006
Last updated
01/06/2025
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