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Individual
DR. RICHARD ALAN RIDGE SR.
Active
Individual
DR. RICHARD ALAN RIDGE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHD
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001132290
VA
363L00000X
Nurse Practitioner
0024194322
VA
Other
Enumeration date
07/27/2023
Last updated
09/09/2026
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