MAL S. RIDDELL

GRENADA, MS
NPI1083613210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  08590)
Enumeration Date2005-07-19
Last Update Date2017-01-06
Business Address
Dr. MAL S. RIDDELL D.O.
1300 SUNSET DR SUITE B
GRENADA, MS 38901-4086
Phone number: 662-226-6430
Mailing Address
Dr. MAL S. RIDDELL D.O.
PO BOX 1263
GRENADA, MS 38902-1263
Phone number: 662-226-6430
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