MR. JERRY RIDER, PA-C

Physician Assistant

Active Individual
NPI: 1194884494

Practice Address

1650 COCHRANE CIR
Fort Carson, CO 80913

Phone: (719) 526-2361

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 2594 (TN)
Physician Assistant - Surgical 363AS0400X No 2594 (TN)

Frequently Asked Questions

NPI 1194884494 is the National Provider Identifier for MR. JERRY RIDER, PA-C, a Physician Assistant provider located in Fort Carson, CO. This NPI was enumerated on December 6, 2006.
MR. JERRY RIDER, PA-C practices at 1650 COCHRANE CIR, Fort Carson, CO 80913.

Quick Facts

NPI
1194884494
Type
Individual
Enumerated
Dec 6, 2006
Last Updated
Jun 13, 2024

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