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Patrick William Riley, PA-C, ATC

Physician Assistant in Duluth, MN. Individual provider (NPI-1).

NPI number1790765253
StatusActive
Last updated in NPPESAug 9, 2016

Details

NPI
1790765253
Entity type
Individual (NPI-1)
Name
Mr. Patrick William Riley
Credential
PA-C, ATC
Sex
Male
Sole proprietor
No
Enumeration date
Jan 20, 2006
Last updated
Aug 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–MNYes
2255A2300X Specialist/Technologist, Athletic Trainer1525MN
363A00000X Physician Assistant3855-23WI

Practice location

407 E 3rd St
Eh St Mary'S Medical Center
Duluth, MN 55805-1950

Phone 218-786-4626

Mailing address

400 E 3rd St
Essentia Health Duluth Clinic Mcl2cred
Duluth, MN 55805-1951

Phone 218-786-1183

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