Individual
BRANDEN E RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6525
(717) 531-5785
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061533
PA
363AM0700X
Medical Physician Assistant
PA1578
ME
Other
Enumeration date
12/15/2015
Last updated
09/02/2020
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