Individual
STEPHEN RIDGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 S PECOS RD STE 203-1, LAS VEGAS, NV 89121-6038
(424) 232-2177
Mailing address
300 W WILLETTA ST APT 5, PHOENIX, AZ 85003-1248
(424) 232-2177
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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