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1265488720
TIMOTHY L RIDDELL
MANDEVILLE, LA
NPI
1265488720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.023288)
Enumeration Date
2006-05-26
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY L RIDDELL MD
2810 E CAUSEWAY APPROACH
MANDEVILLE, LA 70448-3502
Phone number: 985-875-2340
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Mailing Address
Dr. TIMOTHY L RIDDELL MD
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-4000
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