Individual
DR. IAN C RIDDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-4333
(541) 388-3446
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
(541) 706-2398
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A88019
CA
207RC0000X
Cardiovascular Disease Physician
Primary
MD166972
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500687363
—
OR
Enumeration date
08/30/2006
Last updated
04/16/2026
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