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Individual

LOUIS J RICCARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-5179
(423) 778-2108
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-5179
(423) 778-2108

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2679
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q045740
TN
Enumeration date
07/29/2010
Last updated
01/08/2019
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