Individual
DR. SETH ALLRED RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 300 W, SUITE 401, PROVO, UT 84604-3344
(801) 357-7499
(801) 373-5980
Mailing address
1055 N 300 W, SUITE 401, PROVO, UT 84604-3344
(801) 357-7499
(801) 373-5980
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
357240-1205
UT
207YS0123X
Facial Plastic Surgery Physician
357240-1205
UT
Other
Enumeration date
06/22/2006
Last updated
01/23/2012
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