Marcos John Riddle

NPI #1235435660 in Taos, New Mexico

Provider Information

NPI Number: 1235435660
Entity Type: Individual
Name: Marcos John Riddle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 118 ESTE ES RD UNIT A
City: Taos
State: New Mexico
ZIP Code: 87571-6669
Phone: (575) 758-7263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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