Doctor Name: | MRS. APRIL VIRGINIA RIDDLE |
NPI Number: | 1003146333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.T. |
License Number: | 435235 |
Business Practice Address: | 815 N 5th St Apt 1 Coeur D Alene, ID - 838143061 |
Business Phone Number: | 2086645690 |
Business Fax Number: | |
Mailing Address: | 815 N 5th St Apt 1, COEUR D ALENE |
State: | ID |
Postal Code: | 838143061 |
Phone Number: | 2086645690 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2010 |
NPI Last Update Date: | 01/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | 435235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |