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Organization
MAL S RIDDELL, D.O. CLINIC
Active
Organization
MAL S RIDDELL, D.O. CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAL S. RIDDELL (PHYSICIAN)
(662) 809-1453
Entity
Organization
Contact information
Practice address
12028 WATER RIDGE DR, OXFORD, MS 38655-6019
(662) 809-1453
(662) 346-2851
Mailing address
12028 WATER RIDGE DR STE B, OXFORD, MS 38655-6019
(662) 809-1453
(662) 346-2851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08590
MS
Other
Enumeration date
08/20/2009
Last updated
10/07/2026
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