MAL S RIDDELL, D.O. CLINIC

GRENADA, MS
NPI1962634170
Entity TypeOrganization
Authorized ContactMAL S RIDDELL
Owner
662-226-6430
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  08590)
Enumeration Date2009-08-20
Last Update Date2017-01-06
Business Address
MAL S RIDDELL, D.O. CLINIC
1300 SUNSET DR SUITE B
GRENADA, MS 38901-4086
Phone number: 662-226-6430
Mailing Address
MAL S RIDDELL, D.O. CLINIC
1300 SUNSET DR SUITE B
GRENADA, MS 38901-4086
Phone number: 662-226-6430
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