Individual
DR. JOHN J RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E SPRING ST STE 200, NEW ALBANY, IN 47150
(812) 945-7536
(812) 945-7542
Mailing address
700 E SPRING ST STE 200, NEW ALBANY, IN 47150-2926
(812) 945-7536
(812) 945-7542
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01079736A
IN
207P00000X
Emergency Medicine Physician
R0916
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0916
RESIDENCE LICENSE
KY
Enumeration date
06/07/2006
Last updated
03/07/2023
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