Individual
DR. TIMOTHY EUGENE RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26900 N LAKE PLEASANT PKWY # 200, PEORIA, AZ 85383-1394
(602) 561-3000
(602) 561-3009
Mailing address
26900 N LAKE PLEASANT PKWY # 200, PEORIA, AZ 85383-1394
(623) 561-3000
(623) 561-3009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA08774900
NJ
207Q00000X
Family Medicine Physician
Primary
28757
AZ
Other
Enumeration date
03/29/2006
Last updated
01/20/2020
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