Provider Demographics
NPI:1235258542
Name:RILEY, AARON VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:VINCENT
Last Name:RILEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 W BROWN RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-3227
Mailing Address - Country:US
Mailing Address - Phone:480-344-2063
Mailing Address - Fax:480-344-0288
Practice Address - Street 1:570 W BROWN RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-3227
Practice Address - Country:US
Practice Address - Phone:480-344-2063
Practice Address - Fax:480-344-0288
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2015-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI52052-202084P0800X
AZ454022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry