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NPI Profile for MICHAEL P RIDDLE in HUNTINGTON, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1871534131 |
|
| Status | Active | |
| Credentials | P.A.-C | |
| Entity | Individual | |
| Enumeration date | 06/09/2006 | |
| Last updated | 08/18/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL P RIDDLE
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MICHAEL P RIDDLE, P.A.-C