Individual
DR. RICHARD ALAN RIDGE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHD
Contact information
Practice address
307 HUNTLEY AVE, CHARLOTTESVILLE, VA 22903-3276
(434) 953-1290
Mailing address
307 HUNTLEY AVE, CHARLOTTESVILLE, VA 22903-3276
(434) 953-1290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001132290
VA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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