MR. Joseph Riley, CERTIFIED SURGICAL

NPI #1811187222 in Olive Branch, Mississippi

Provider Information

NPI Number: 1811187222
Entity Type: Individual
Name: MR. Joseph Riley, CERTIFIED SURGICAL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist/Technologist, Other - Surgical Technologist
Credential: CERTIFIED SURGICAL
Enumeration Date: Aug 1, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 8111 WINDERSGATE CIR
City: Olive Branch
State: Mississippi
ZIP Code: 38654-1209
Phone: (662) 216-0563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X	Primary

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