Individual
ANTHONY MARK RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
100 HOSPITAL DR, PENDER, NE 68047-4507
(402) 385-3083
Mailing address
1138 E GRANT ST, WEST POINT, NE 68788-1953
(402) 380-2338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
115430
NE
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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