Individual provider · Type 1 NPI

Riley Michael Eisenberg

Student in an Organized Health Care Education/Training Program · Springfield, MO

NPI number 1285364604 Active

Practice location

901 S National Ave
Springfield, MO 65897-0001

Mailing address

505 E Saint Louis St Apt 219A
Springfield, MO 65806-2500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285364604

Riley Michael Eisenberg's National Provider Identifier is 1285364604, issued on Jun 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MO. The record was last updated on Jun 16, 2022.