Organization
JOE D RIDDLE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE D RIDDLE M.D. (OWNER)
(405) 329-7621
Entity
Organization
Contact information
Practice address
900 N PORTER AVE, SUITE 310, NORMAN, OK 73071-6424
(405) 329-7621
(405) 360-6315
Mailing address
900 N PORTER AVE, SUITE 310, NORMAN, OK 73071-6424
(405) 329-7621
(405) 360-6315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10240
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202257462001
BCBS
OK
Enumeration date
05/24/2006
Last updated
02/27/2008
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