Riley, Philip Michael

Riley, Philip Michael is an individual health care provider with primary practice located at 2708 Rife Medical Lane Suite 220, Rogers AR 72758-1452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Riley, Philip Michael can be contacted via phone (479) 338-4400.

Contact Information

Primary practice address
2708 Rife Medical Lane Suite 220 Rogers AR 72758-1452
Phone: (479) 338-4400
Fax: (479) 338-4445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E-5076 Arkansas

Profile Details

NPI number 1962440685
LBN Legal business name Riley, Philip Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962440685 NPPES
Arkansas MEDICAID 165590003

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