Individual
CHESTER DUANE RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
262 NEIL AVE STE 220, COLUMBUS, OH 43215-7310
(614) 464-3937
(614) 464-0088
Mailing address
262 NEIL AVE STE 220, COLUMBUS, OH 43215-7310
(614) 464-3937
(614) 464-0088
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34003283R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0812571
—
OH
01
—
180028607
RAILROAD MEDICARE
—
Enumeration date
09/15/2005
Last updated
09/21/2020
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