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Dr. Mal S. Riddell, DO
Family Medicine Physician in Grenada, Mississippi
NPI 1083613210

Mal S. Riddell is a Family Medicine Physician based in Grenada, MS. Mal S. Riddell practices in Grenada, MS and has the professional credentials of DO. The NPI Number for Mal S. Riddell is 1083613210 and holds a License No. 08590 (Mississippi).

The current practice location address for Mal S. Riddell is 1300 Sunset Dr, Grenada, MS and can be reached out via phone at 662-226-6430 and via fax at 662-226-0018.

Location: 1300 Sunset Dr, Grenada, MS, 38902-1263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083613210
Provider Name
Mal S. Riddell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1300 Sunset Dr, Grenada, MS, 38902-1263
Phone Number
662-226-6430
Fax Number
662-226-0018
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018828 05 MS
institution
Provider Business Practice Location Address Details
Address
1300 Sunset Dr
City
Grenada
State
Mississippi
Zip
38901-4086
Phone Number
662-226-6430
Fax Number
662-226-0018
person
Provider Business Mailing Address Details
Address
1300 Sunset Dr
City
Grenada
State
Mississippi
Zip
38901-4086
Phone Number
662-226-6430
Fax Number
662-226-0018
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
08590 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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