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NPI Code Detail

MEDICARE: JUDITH E RILEY MD PLC

MEDICARE: JUDITH E RILEY MD PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician13749AZ

General Provider Information

NPI Number : 1275701435
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUDITH E RILEY MD PLC
Provider Business Mailing Address
First Line : 310 N WILMOT RD STE 306
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2628
Country : US
Telephone Number : 520-325-0865
Fax Number : 520-325-4281
Provider Business Practice Location Address
First Line : 310 N WILMOT RD STE 306
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2628
Country : US
Telephone Number : 520-325-0865
Fax Number : 520-325-4281
Authorized Official
Title or Position : OWNER
Name : DR. JUDITH E RILEY
Credential : MD
Telephone Number : 520-325-0865
Provider Enumeration Date : 02/11/2008
Last Update Date : 02/11/2008

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