Individual
STEFANIE LYCANS RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3039
(513) 636-4830
(513) 636-7868
Mailing address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3039
(513) 636-4830
(513) 636-7868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.121592
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.121592
OH
Other
Enumeration date
04/15/2010
Last updated
07/01/2016
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