Individual
CARL MICHAEL RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.O.G.
Contact information
Practice address
5800 W 10TH ST, STE.401, LITTLE ROCK, AR 72204-1752
(501) 661-2480
(501) 661-2464
Mailing address
5800 W 10TH ST, STE.401, LITTLE ROCK, AR 72204-1752
(501) 661-2480
(501) 661-2464
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
C-5991
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110831001
—
AR
Enumeration date
05/25/2007
Last updated
01/29/2014
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