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Contact Information

PHILLIP RIDDLE, MD
300 HOSPITAL DR
VALLEJO, CA94589
 Phone: 707-554-4444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PHILLIP RIDDLE · (Male)

NPI # 1861437360
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2006
Last updated 10/31/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G86016
  • CA Medicaid 00G860160
  • CA Medicaid 00G860161
  • CA Other 00G860160 BS OF CA
  • CA Other P00353126 RAILROAD MEDICARE
Hospital affiliation(s)
  • SUTTER SOLANO MEDICAL CENTER - (Acute Care)
    300 HOSPITAL DR
    VALLEJO, CA 94589
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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