Male or Other

Gary D. Riddle M.D.

Family Medicine Physician in Newburgh, IN(View on Map)

Full Name

Gary D Riddle M.D.

NPI Number

1942223839

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/25/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

IN01043786

Contact
Information

Purpose

Mailing
Location

Address

100 ST MARYS EPWORTH XING # B100
100 ST MARYS EPWORTH XING # B100

City

Newburgh
Newburgh

State

IN
IN

Postal Code

47630-9497
47630-9497

Country

US
US

Telephone Number

N/A
(812) 469-8300

Identifiers

Identifier

080112157
100369570

Identifier State

IN
IN

Identifier Issuer

RAILROAD MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/16/2022

Provider Address

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