Individual
DR. JOHN M RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14640
NH
207L00000X
Anesthesiology Physician
228118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02394943
—
NY
05
—
1016847
—
VT
05
—
30209066
—
NH
Enumeration date
01/24/2006
Last updated
12/31/2023
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