Individual
JAMES DAVID RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 249-6684
Mailing address
1677 E CIDER CT, BLOOMINGTON, IN 47408-9480
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01067926
IN
207L00000X
Anesthesiology Physician
01067926A
IN
Other
Enumeration date
08/09/2008
Last updated
07/11/2024
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