Healthcare Provider Details

I. General information

NPI: 1003826850
Provider Name (Legal Business Name): RICHARD RILEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 12/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W 3RD ST
LITTLE ROCK AR
72201-2008
US

IV. Provider business mailing address

1100 W 3RD ST
LITTLE ROCK AR
72201-2008
US

V. Phone/Fax

Practice location:
  • Phone: 501-371-0022
  • Fax: 501-371-0810
Mailing address:
  • Phone: 501-371-0022
  • Fax: 501-371-0810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number887
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: