Provider Demographics
NPI:1790147155
Name:SANDERS, RILEY N (MD)
Entity Type:Individual
Prefix:DR
First Name:RILEY
Middle Name:N
Last Name:SANDERS
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 1:924 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-5424
Mailing Address - Country:US
Mailing Address - Phone:501-327-4444
Mailing Address - Fax:501-327-4639
Practice Address - Street 1:9800 BAPTIST HEALTH DR STE 501
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6243
Practice Address - Country:US
Practice Address - Phone:501-223-8400
Practice Address - Fax:501-223-3713
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE13044207WX0107X
ARE-13044390200000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program