Ronald Kip Rider, P.A.-C

NPI #1578504866 in Hollywood, Florida

Provider Information

NPI Number: 1578504866
Entity Type: Individual
Name: Ronald Kip Rider, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Jun 9, 2006
Last Updated: Apr 13, 2015

Practice Location

Address: 3702 WASHINGTON ST
Address 2: SUITE 305
City: Hollywood
State: Florida
ZIP Code: 33021-8282
Phone: (954) 967-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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