Individual
DR. RICHARD J SIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 N UNION AVE STE C, ROSWELL, NM 88201-3068
(575) 622-7295
(575) 622-7295
Mailing address
207 N UNION, SUITE C, ROSWELL, NM 88201-3068
(505) 622-7295
(505) 622-6509
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
84260
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032805
—
NM
01
—
NM84260
NM LICENSE
—
Enumeration date
12/14/2006
Last updated
10/17/2018
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