Individual
DR. GREGORY ALLEN RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1599 JONES STREET, GRAND FORKS AFB, ND 58205
(701) 747-5326
Mailing address
1599 JONES STREET, GRAND FORKS AFB, ND 58205
(701) 747-5326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19406
AL
207QS0010X
Sports Medicine (Family Medicine) Physician
19406
AL
2083A0100X
Aerospace Medicine Physician
Primary
19406
AL
Other
Enumeration date
11/02/2006
Last updated
12/08/2025
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