Glen Robert Riley, IDMT
NPI #1811123128 in Louisville, Tennessee
Provider Information
- NPI Number
- 1811123128
- Entity Type
- Individual
- Name
- Glen Robert Riley, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Jun 2, 2009
- Last Updated
- Jun 2, 2009
Practice Location
- Address
- 420 POST AVE
- City
- Louisville
- State
- Tennessee
- ZIP Code
- 37777-6223
- Phone
- (865) 985-4278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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