Organization
SETH A RIDDLE, M.D. P.C.
Active
Other names
Peak Otolaryngology
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE RICHARDS (BILLING MANAGER)
(801) 357-7499
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 401, PROVO, UT 84604-3306
(801) 357-7499
(801) 373-5980
Mailing address
1055 N 300 W STE 401, PROVO, UT 84604-3306
(801) 357-7499
(801) 373-5980
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/14/2007
Last updated
01/08/2009
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