person
Dr. Jesse Ellsworth Riley, DPM
Foot & Ankle Surgery Podiatrist in Payson, Utah
NPI 1548532583

Jesse Ellsworth Riley is a Foot & Ankle Surgery Podiatrist based in Payson, UT and is specialized in Foot & Ankle Surgery. Jesse Ellsworth Riley practices in Payson, UT and has the professional credentials of DPM. The NPI Number for Jesse Ellsworth Riley is 1548532583 and holds a License No. 90377690501 (Utah).

The current practice location address for Jesse Ellsworth Riley is 41 N 400 W Ste A, Payson, UT and can be reached out via phone at 801-218-3338 and via fax at 801-658-5351. You can also correspond with Jesse Ellsworth Riley through the mailing address at 41 N 400 W STE A, PAYSON, UT - 84651-2021 (mailing address contact number: 801-218-3338).

Location: 41 N 400 W Ste A, Payson, UT, 84651-2021
person
Provider Profile Details
NPI Number
1548532583
Provider Name
Jesse Ellsworth Riley
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
41 N 400 W Ste A, Payson, UT, 84651-2021
Phone Number
801-218-3338
Fax Number
801-658-5351
Provider Enumeration Date
02/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90377690501 01 UT LICENSE
institution
Provider Business Practice Location Address Details
Address
41 N 400 W Ste A
City
State
Zip
84651-2021
Phone Number
801-218-3338
Fax Number
801-658-5351
person
Provider Business Mailing Address Details
Address
41 N 400 W Ste A
City
State
Zip
84651-2021
Phone Number
801-218-3338
Fax Number
801-658-5351
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
90377690501 (Utah)
Definition
Definition to come...
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