Individual
DR. JOSEPH RICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 ORCHARD DR, BERRYVILLE, AR 72616-4320
(870) 423-3774
(870) 423-4670
Mailing address
408 ORCHARD DR, BERRYVILLE, AR 72616-4320
(870) 423-3774
(870) 423-4670
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
110164-1
NY
207X00000X
Orthopaedic Surgery Physician
Primary
E1571
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18460000000
QUALCHOICE
AR
01
—
406290
HEALTHLINK
AR
01
—
5503584
AETNA
AR
01
—
5K668
BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/09/2006
Last updated
07/10/2007
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