KEVIN RIDDLEBERGER, P.A.
Physician Assistant - Surgical
Active
Individual
NPI: 1396745683
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 1801 (CO) |
| Physician Assistant | 363A00000X | No | 1801 (CO) |
Frequently Asked Questions
NPI 1396745683 is the National Provider Identifier for KEVIN RIDDLEBERGER, P.A., a Physician Assistant - Surgical provider located in Longmont, CO. This NPI was enumerated on July 28, 2005.
KEVIN RIDDLEBERGER, P.A. practices at 1551 PROFESSIONAL LN, SUITE 200, Longmont, CO 80501.
Quick Facts
- NPI
- 1396745683
- Type
- Individual
- Enumerated
- Jul 28, 2005
- Last Updated
- Nov 9, 2010
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