LAWRENCE MARSHALL RIDDLES

SCOTT AFB, IL
NPI1356337638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NY  159883-1)
Enumeration Date2005-09-22
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE MARSHALL RIDDLES MD
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-7456
Mailing Address
Dr. LAWRENCE MARSHALL RIDDLES MD
187 POW MIA DR
SCOTT AFB, IL 62225-1750
Phone number: 618-256-7456