Gary C Ridenour MD a Prof Corp

NPI #1043253727 in Fallon, Nevada

Provider Information

NPI Number: 1043253727
Entity Type: Organization
Organization Name: Gary C Ridenour MD a Prof Corp
Primary Specialty: Family Medicine
Enumeration Date: Jun 13, 2006
Last Updated: May 31, 2011

Practice Location

Address: 625 W WILLIAMS AVE
Address 2: STE B
City: Fallon
State: Nevada
ZIP Code: 89406
Phone: (775) 423-6400

Authorized Official

Name: DR. GARY CHARLES RIDENOUR, MD
Title: MD
Phone: (775) 423-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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