Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY ALLEN RIDDLE, MD
Active Sole ProprietorDR. GREGORY ALLEN RIDDLE, MD is a 2083A0100X healthcare provider located in GRAND FORKS AFB, North Dakota. NPI 1043398456 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · GRAND FORKS AFB, ND
Registration Details
- NPI Number
- 1043398456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2006 (19.737391126045 yrs)
- Last Updated
- Dec 8, 2025
- Licenses
-
19406 (AL)19406 (AL)19406 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1599 JONES STREETGRAND FORKS AFB, ND, 58205Browse ND providers · Browse ZIP 58205
- Phone
- 7017475326
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.