Individual
STANLEY R RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 667-5249
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD00023567
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8152068
—
WA
Enumeration date
05/23/2007
Last updated
08/02/2007
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