Individual
ANGUS KENNETH RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13001 E 17TH PL RM E7019, AURORA, CO 80045-2570
(303) 724-7963
Mailing address
13001 E 17TH PL RM E7019, AURORA, CO 80045-2570
(303) 724-7963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008023
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/28/2022
Last updated
08/24/2023
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