NPI 1811123128

Glen Robert Riley, IDMT

Practitioner Independent Duty Medical Technicians Louisville, TN

Practice location

Address: 420 Post Ave, Louisville, TN 37777-6223
Phone: (865) 985-4278
Fax: (865) 985-4273

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Tennessee →

Registry record

NPI: 1811123128
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2009
Record last updated: 2 Jun 2009

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.