DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAL S RIDDELL, D.O. CLINIC

Active Organization

MAL S RIDDELL, D.O. CLINIC is a Family Medicine organization located in GRENADA, Mississippi. NPI 1962634170 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRENADA, MS

Registration Details

NPI Number
1962634170
Provider Type
Organization
NPI Issued
Aug 20, 2009 (16.979998679044 yrs)
Last Updated
Jan 6, 2017
License
08590 (MS)

Practice Information

Address
1300 SUNSET DR
SUITE B
GRENADA, MS, 389014086
Browse MS providers · Browse ZIP 38901
Phone
6622266430
Fax
6622260018
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.