DR. Lawrence Marshall Riddles, MD

NPI #1356337638 in Scott Afb, Illinois

Provider Information

NPI Number: 1356337638
Entity Type: Individual
Name: DR. Lawrence Marshall Riddles, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Sep 22, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 310 W LOSEY ST
City: Scott Afb
State: Illinois
ZIP Code: 62225-5250
Phone: (618) 256-7456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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