MAL S RIDDELL, D.O. CLINIC

Family Medicine

Active Organization
NPI: 1962634170

Practice Address

1300 SUNSET DR
SUITE B
Grenada, MS 38901

Phone: (662) 226-6430

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 08590 (MS)

Frequently Asked Questions

NPI 1962634170 is the National Provider Identifier for MAL S RIDDELL, D.O. CLINIC, a Family Medicine provider located in Grenada, MS. This NPI was enumerated on August 20, 2009.

Quick Facts

NPI
1962634170
Type
Organization
Enumerated
Aug 20, 2009
Last Updated
Jan 6, 2017

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