Neal Patrick Ridge D.O.

NPI 1053381004 - Family Medicine - 207Q00000X

NPI Details
NPI 1053381004
Gender Male
Enumeration Date 01/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
301 N 1ST ST
97 MDG
ALTUS AFB OK, 73523-5004, US
Phone (580) 481-5423
Fax (580) 481-5426
Business Location
1530 TYLER ST
ALTUS OK, 73521-4739, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number 20A6920
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According to our database, Dr. Neal Patrick Ridge D.O. NPI is 1053381004, taxonomy code is 207Q00000X and license number is 20A6920, license state is located at California. Neal Patrick Ridge D.O. physically located at 301 N 1st St, Altus Afb OK, 73523-5004. NPI Number Neal Patrick Ridge D.O. has the Individual type.

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1053381004 NPI number is provided on an as is basis without warranty of any kind. 1053381004 is maintained by the National Plan & Provider Enumeration System. The contents of Neal Patrick Ridge D.O. are for informational purposes only.