NPI 1134220783

Mark O Riley, PAC

Practitioner Physician Assistant Cody, WY

Practice location

Address: 720 Lindsay Ln STE C, Cody, WY 82414-4103
Phone: (307) 578-1955
Fax: (307) 578-1957

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 140 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1134220783
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2006
Record last updated: 7 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.