GARY C RIDENOUR MD A PROF CORP

FALLON, NV
NPI1043253727
Entity TypeOrganization
Authorized ContactGARY CHARLES RIDENOUR
Md
775-423-6400
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-06-13
Last Update Date2011-05-31
Business Address
GARY C RIDENOUR MD A PROF CORP
625 W WILLIAMS AVE STE B
FALLON, NV 89406
Phone number: 775-423-6400
Mailing Address
GARY C RIDENOUR MD A PROF CORP
PO BOX 1912
FALLON, NV 89407
Phone number: 775-423-6400