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NPI Profile for JAMES RIELLY in PROVO, UT.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI Number | 1386638005 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/08/2005 | |
| Last updated | 03/14/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JAMES RIELLY
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JAMES RIELLY