Individual
JESSICA A RIDGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241688
MA
207R00000X
Internal Medicine Physician
Primary
DR.0061442
CO
208M00000X
Hospitalist Physician
2013018505
MO
Other
Enumeration date
07/15/2009
Last updated
02/01/2022
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