Individual
MR. THOMAS RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 SUMMIT AVE, SUITE 2ND FLOOR, TROY, OH 45373-3047
(937) 335-0361
Mailing address
550 SUMMIT AVE, SUITE 2ND FLOOR, TROY, OH 45373-3047
(937) 335-0361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004462
OH
Other
Enumeration date
10/02/2015
Last updated
03/15/2017
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