RYAN R RIDENOUR

STATE COLLEGE, PA
NPI1013969997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: PA  OS012985)
Additional Taxonomies207Q00000X Family Medicine
(Licence: PA  OS012985)
Enumeration Date2006-05-17
Last Update Date2015-03-20
Business Address
Dr. RYAN R RIDENOUR DO
1800 E PARK AVE
STATE COLLEGE, PA 16803-6709
Phone number: 814-278-4818
Mailing Address
Dr. RYAN R RIDENOUR DO
1800 E PARK AVE
STATE COLLEGE, PA 16803-6709
Phone number: 814-278-4818