DR. Timothy L Riddell, MD

NPI #1265488720 in Mandeville, Louisiana

Provider Information

NPI Number: 1265488720
Entity Type: Individual
Name: DR. Timothy L Riddell, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2810 E CAUSEWAY APPROACH
City: Mandeville
State: Louisiana
ZIP Code: 70448-3502
Phone: (985) 875-2340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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