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Contact Information

DAVID RIDDER, MD
1851 MESQUITE AVE STE 210
LAKE HAVASU CITY, AZ86403-5681
 Phone: 928-854-7540
 Fax: 928-885-4240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DAVID RIDDER · (Male)

NPI # 1154778207
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2016
Last updated 08/20/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 74218
  • NV License # 25544
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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