Individual
DR. JOHN BLAINE RILEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
984150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4150
(402) 559-7405
Mailing address
984150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8445
NE
207L00000X
Anesthesiology Physician
MD215519
OR
Other
Enumeration date
05/09/2019
Last updated
11/07/2023
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