Individual
DR. FORREST ALTON RIDDLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9800 SAVAGE RD, FORT GEORGE G MEADE, MD 20755-5999
(301) 688-7264
(301) 688-3900
Mailing address
7817 HALEHAVEN CT, SEVERN, MD 21144-1044
(410) 551-8212
(301) 688-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0055596
MD
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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