# ST PAUL RHEUMATOLOGY P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053344788
- **Authorized official:** DAVID J RIDLEY M.D. (OWNER)
- **Authorized official phone:** (651) 644-4277

## Contact information

- **Practice address:** 2854 HIGHWAY 55, SUITE 190, EAGAN, MN 55121-2156
- **Practice address phone:** (651) 644-4277
- **Mailing address:** 2854 HIGHWAY 55, SUITE 190, EAGAN, MN 55121-2156
- **Mailing address phone:** (651) 644-4277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 05/24/2021