DR. MAL RIDDELL, D.O.
Family Medicine
Active
Individual
NPI: 1083613210
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 08590 (MS) |
Frequently Asked Questions
NPI 1083613210 is the National Provider Identifier for DR. MAL RIDDELL, D.O., a Family Medicine provider located in Grenada, MS. This NPI was enumerated on July 19, 2005.
DR. MAL RIDDELL, D.O. practices at 1300 SUNSET DR, SUITE B, Grenada, MS 38901.
Quick Facts
- NPI
- 1083613210
- Type
- Individual
- Enumerated
- Jul 19, 2005
- Last Updated
- Jan 6, 2017
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