Individual
DR. AUSTIN LEON RIDGWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 NORTH LOOP RD., FORT IRWIN, CA 92310
(760) 383-5289
Mailing address
390 NORTH LOOP ROAD, FORT IRWIN, CA 92310
(760) 383-5289
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208000000X
Pediatrics Physician
Primary
36078
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2022
Last updated
03/24/2026
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