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NPI Code Detail

MEDICARE: LYRAD K RILEY M.D.

MEDICARE: LYRAD K RILEY M.D.
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
1207Q00000XFamily Medicine PhysicianCDRH.0058788CO
2207Q00000XFamily Medicine PhysicianA66582CA

General Provider Information

NPI Number : 1356318216
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYRAD K RILEY M.D.
Provider Business Mailing Address
First Line : 2698 PATTERSON RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8818
Country : US
Telephone Number : 970-298-2800
Fax Number :
Provider Business Practice Location Address
First Line : 2698 PATTERSON RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8818
Country : US
Telephone Number : 970-298-2800
Fax Number : 970-298-6902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 12/11/2025

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Directions to “ LYRAD K RILEY M.D.” Practice Location

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