Organization · Type 2 NPI
Jillian Riley D.o. P.c.
Primary Care Clinic/Center · Wagoner, OK
NPI number
1376780031
Active
Practice location
1202 W Cherokee St, Suite D
Wagoner, OK 74467-4629
Fax (918) 742-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 4553 (OK) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Wagoner
About NPI 1376780031
Jillian Riley D.o. P.c.'s National Provider Identifier is 1376780031, issued on Jan 15, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Wagoner, OK. The record was last updated on Jun 11, 2009.