Individual
DR. TRAVIS JOHN RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 E PEARL AVE, JACKSON, WY 83001-8410
(307) 733-6401
Mailing address
PO BOX 1029, JACKSON, WY 83001-1029
(307) 733-4627
(307) 733-5184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
229430
MA
Other
Enumeration date
05/14/2008
Last updated
08/26/2025
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