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Contact Information

GREGORY A RIDDLE, MD
1599 JONES STREET
GRAND FORKS AFB, ND58205
 Phone: 701-747-5326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Aerospace Medicine

2083A0100X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GREGORY A RIDDLE · (Male)

NPI # 1043398456
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2006
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 19406
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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