Little Doc Rider PC

NPI #1922168947 in Berlin, Maryland

Provider Information

NPI Number: 1922168947
Entity Type: Organization
Organization Name: Little Doc Rider PC
Primary Specialty: Family Medicine
Enumeration Date: Dec 11, 2006
Last Updated: Dec 10, 2009

Practice Location

Address: 314 FRANKLIN AVE
Address 2: SUITE 403
City: Berlin
State: Maryland
ZIP Code: 21811-1215
Phone: (410) 629-1995

Authorized Official

Name: BROOKELLEN RIDER, DO
Title: PROPRIETOR
Phone: (410) 629-1995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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