Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAL S. RIDDELL, D.O.
Active Sole ProprietorFamily Medicine · GRENADA, MS
Registration Details
- NPI Number
- 1083613210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (20.75747904771 yrs)
- Last Updated
- Jan 6, 2017
- License
-
08590 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1300 SUNSET DRSUITE BGRENADA, MS, 389014086Browse MS providers · Browse ZIP 38901
- Phone
- 6622266430
- Fax
- 6622260018
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRENADA, MS
| Name | Credential | NPI |
|---|---|---|
| DR. MARY ANNE FRANK-TARSI | M.D. | 1558305722 |
| DR. RALPH CRISS ARMSTRONG JR. | M.D. | 1417975731 |
| DR. RICHARD CLYDE REID | M.D. | 1528086857 |
| DR. KERRY TODD LEE | M.D. | 1467470799 |
| JAMES K STANFORD | M.D. | 1033220512 |
| BENJAMIN LAMBERT | MD | 1982198503 |
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.