RILEY RICHARD GOODRICH

SOUTH PORTLAND, ME
NPI1346720653
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PAN1826)
Enumeration Date2018-08-16
Last Update Date2018-08-16
Business Address
RILEY RICHARD GOODRICH PA-C
100 FODEN RD, EAST STE 203
SOUTH PORTLAND, ME 04106-2327
Phone number: 207-874-1489
Mailing Address
RILEY RICHARD GOODRICH PA-C
100 GANNETT DR STE C
SOUTH PORTLAND, ME 04106-5900
Phone number: 207-828-0361