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Jillian Riley D.o. P.c.
Primary Care Clinic/Center in Wagoner, Oklahoma
NPI 1376780031

Jillian Riley D.o. P.c. is a Primary Care Clinic/Center based in Wagoner, OK and is specialized in Primary Care. Jillian Riley D.o. P.c. practices in Wagoner, OK. The NPI Number for Jillian Riley D.o. P.c. is 1376780031 and holds a License No. 4553 (Oklahoma).

The current practice location address for Jillian Riley D.o. P.c. is 1202 W Cherokee St, Wagoner, OK and can be reached out via phone at 918-406-2567 and via fax at 918-742-1103.

Location: 1202 W Cherokee St, Wagoner, OK, 74467-4629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376780031
Provider Name
Jillian Riley D.o. P.c.
Credential
Provider Entity Type
Organization
Address
1202 W Cherokee St, Wagoner, OK, 74467-4629
Phone Number
918-406-2567
Fax Number
918-742-1103
Provider Enumeration Date
01/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1202 W Cherokee St
City
Wagoner
State
Oklahoma
Zip
74467-4629
Phone Number
918-406-2567
Fax Number
918-742-1103
person
Provider Business Mailing Address Details
Address
1202 W Cherokee St
City
Wagoner
State
Oklahoma
Zip
74467-4629
Phone Number
918-406-2567
Fax Number
918-742-1103
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
4553 (Oklahoma)
Definition
Definition to come...
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