Mal S Riddell, D.o. Clinic

NPI #1962634170 in Grenada, Mississippi

Provider Information

NPI Number: 1962634170
Entity Type: Organization
Organization Name: Mal S Riddell, D.o. Clinic
Primary Specialty: Family Medicine
Enumeration Date: Aug 20, 2009
Last Updated: Jan 6, 2017

Practice Location

Address: 1300 SUNSET DR
Address 2: SUITE B
City: Grenada
State: Mississippi
ZIP Code: 38901-4086
Phone: (662) 226-6430

Authorized Official

Name: DR. MAL S RIDDELL III, D.O.
Title: OWNER
Phone: (662) 226-6430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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James K Stanford, M.D.	Family Medicine	Grenada	AI Deep Dive
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DR. Mal S. Riddell, D.O.	Family Medicine	Grenada	AI Deep Dive
DR. Mary Anne Frank-Tarsi, M.D.	Family Medicine	Grenada	AI Deep Dive
Benjamin Lambert, MD	Family Medicine	Grenada	AI Deep Dive

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