MR. Jonathan R Ridenour, PA-C
NPI #1053845776 in Montgomery, Alabama
Provider Information
- NPI Number
- 1053845776
- Entity Type
- Individual
- Name
- MR. Jonathan R Ridenour, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Apr 19, 2017
Practice Location
- Address
- 2105 E SOUTH BLVD
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36116-2409
- Phone
- (334) 288-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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