person
Blane Riley, DO
Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana
NPI 1437684578

Blane Riley is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IN. Blane Riley practices in Indianapolis, IN and has the professional credentials of DO. The NPI Number for Blane Riley is 1437684578 and holds a License No. 11019487A (Indiana).

The current practice location address for Blane Riley is 10122 E 10Th St, Indianapolis, IN and can be reached out via phone at 317-355-5717.

Location: 10122 E 10Th St, Indianapolis, IN, 46250-2805
person
Provider Profile Details
NPI Number
1437684578
Provider Name
Blane Riley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
10122 E 10Th St, Indianapolis, IN, 46250-2805
Phone Number
317-355-5717
Fax Number
Provider Enumeration Date
04/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10122 E 10Th St
City
State
Zip
46229-2663
Phone Number
317-355-5717
Fax Number
person
Provider Business Mailing Address Details
Address
10122 E 10Th St
City
State
Zip
46229-2663
Phone Number
317-355-5717
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
11019487A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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