| Riddle Health Center Llc | |
|
2717 Miamisburg Centerville Rd Suite 211 Dayton OH 45459-3797 | |
| (937) 434-6832 | |
| (937) 434-8371 |
| Full Name | Riddle Health Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2717 Miamisburg Centerville Rd, Dayton, Ohio |
| Authorized Official Name and Position | Kevin Lee Riddle (PHYSICIAN) |
| Authorized Official Contact | 9374346832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riddle Health Center Llc 2717 Miamisburg Centerville Rd Suite 211 Dayton OH 45459-3797 Ph: (937) 434-6832 | Riddle Health Center Llc 2717 Miamisburg Centerville Rd Suite 211 Dayton OH 45459-3797 Ph: (937) 434-6832 |
| NPI Number | 1891975587 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891975587 | NPI | - | NPPES |
| 0834342 | Other | OH | MEDICAID PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35059114 (Ohio) | Primary |
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