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1457341893
JAY RIDDLE
FORT BELVOIR, VA
NPI
1457341893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: VA 54289)
Enumeration Date
2005-10-26
Last Update Date
2010-03-26
Business Address
Dr. JAY RIDDLE M.D.
9501 FARRELL RD SUITE GC-11
FORT BELVOIR, VA 22060-5901
Phone number: 703-805-0193
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Mailing Address
Dr. JAY RIDDLE M.D.
PO BOX 1327
FORT BELVOIR, VA 22060-1027
Phone number: 703-805-0193
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