Individual
JENNA L W RIDLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1350 DES MOINES STREET, SUITE 110, DES MOINES, IA 50309-5507
(515) 643-0833
(515) 643-0933
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-0833
(515) 643-0933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-04667
IA
Other
Enumeration date
06/19/2013
Last updated
09/02/2016
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