DR. Brock Davis Ridenour, MD
NPI #1164536710 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1164536710
- Entity Type
- Individual
- Name
- DR. Brock Davis Ridenour, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Credential
- MD
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12460 OLIVE BLVD
- Address 2
- SUITE 202
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-6409
- Phone
- (314) 909-1202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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