Jeffrey Lee Ridout
NPI #1073076113 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1073076113
- Entity Type
- Individual
- Name
- Jeffrey Lee Ridout
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Enumeration Date
- Apr 6, 2019
- Last Updated
- Apr 6, 2019
Practice Location
- Address
- 3393 E MORENCI RD
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143-5979
- Phone
- (480) 415-9949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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