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NPI Code Detail

MEDICARE: SKYLAR RILEY

MEDICARE: SKYLAR RILEY
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1376476978
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYLAR RILEY
Provider Business Mailing Address
First Line : 2809 E HARMONY RD STE 130
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3110
Country : US
Telephone Number : 970-325-6278
Fax Number :
Provider Business Practice Location Address
First Line : 1725 E PROSPECT RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1307
Country : US
Telephone Number : 970-221-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ SKYLAR RILEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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