GLEN RILEY, IDMT

Military Health Care Provider - Independent Duty Medical Technicians

Active Individual
NPI: 1811123128

Practice Address

420 POST AVE
Louisville, TN 37777

Phone: (865) 985-4278

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Medical Technicians 1710I1003X Yes -

Frequently Asked Questions

NPI 1811123128 is the National Provider Identifier for GLEN RILEY, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Louisville, TN. This NPI was enumerated on June 2, 2009.
GLEN RILEY, IDMT practices at 420 POST AVE, Louisville, TN 37777.

Quick Facts

NPI
1811123128
Type
Individual
Enumerated
Jun 2, 2009
Last Updated
Jun 2, 2009

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