DERRY RIDGWAY

ASHLAND, OR
NPI1407861131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: OR  MD10816)
Enumeration Date2006-07-30
Last Update Date2007-07-08
Business Address
Dr. DERRY RIDGWAY M.D.
251 MAPLE ST STE B
ASHLAND, OR 97520-1516
Phone number: 949-646-1016
Mailing Address
Dr. DERRY RIDGWAY M.D.
5501 SEASHORE DR
NEWPORT BEACH, CA 92663-2219
Phone number: 949-646-1016
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