Individual
CARLIN A RIDPATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7125 E CRESCENTRIDGE DR, SPRINGFIELD, MO 65809-3251
(417) 496-1677
Mailing address
7125 E CRESCENTRIDGE DR, SPRINGFIELD, MO 65809-3251
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
105620
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256
BLUE
MO
05
—
160272001
—
AR
05
—
2046958910
—
MO
01
—
300126840
RRR MEDICARE
MO
Enumeration date
03/27/2006
Last updated
01/30/2024
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