Provider Demographics
NPI:1073570602
Name:RILEY, JUDITH EVELYN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:EVELYN
Last Name:RILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:310 N WILMOT RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-2618
Mailing Address - Country:US
Mailing Address - Phone:520-325-0865
Mailing Address - Fax:520-325-4281
Practice Address - Street 1:310 N WILMOT RD
Practice Address - Street 2:SUITE 306
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2618
Practice Address - Country:US
Practice Address - Phone:520-325-0865
Practice Address - Fax:520-325-4281
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2008-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ13749207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD37509Medicare UPIN