# JOHN G. RIDGWAY, D.O. P. C.

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

## Provider details

- **NPI number:** 1194909994
- **Authorized official:** MR. JOHN GREGORY RIDGWAY D.O. (PRESIDENT)
- **Authorized official phone:** (928) 726-9765

## Contact information

- **Practice address:** 2451 S AVE A, SUITE 5, YUMA, AZ 85364-7133
- **Practice address phone:** (928) 726-9765
- **Practice address fax:** (928) 726-9763
- **Mailing address:** 2451 S AVE A, SUITE 5, YUMA, AZ 85364-7133
- **Mailing address phone:** (928) 726-9765
- **Mailing address fax:** (928) 726-9763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2007
- **Last updated:** 03/22/2008