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)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