| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RILEY SHULER POLK | 1023506292 | 2022-01-16 |
Riley S Polk [M] graduated in 2018 from University Of South Carolina School Of Medicine and primarily specializes in Emergency Medicine.
Riley Shuler Polk is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023506292. Registration indicates Riley Shuler Polk is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 4880018258 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Riley Shuler Polk MD |
| Practice Office Address | 4502 E 41ST ST TULSA, OK US |
| Practice Office Telephone | 9185792367 |
| Mailing Address | 4502 E 41ST ST TULSA, OK 741352536 US |
| Business Telephone | 9185792367 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 33959
OK |