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Daniel Lyman Ridout III, MD
Gastroenterology Physician in Roswell, New Mexico
NPI 1265427504

Daniel Lyman Ridout III is a Gastroenterology Physician based in Roswell, NM and is specialized in Gastroenterology. Daniel Lyman Ridout III practices in Roswell, NM and has the professional credentials of MD. The NPI Number for Daniel Lyman Ridout III is 1265427504 and holds a License No. 0101237677 (New Mexico).

The current practice location address for Daniel Lyman Ridout III is 350 W Country Club Rd, Roswell, NM and can be reached out via phone at 575-624-4651 and via fax at 575-624-4875.

Location: 350 W Country Club Rd, Roswell, NM, 88201-5205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265427504
Provider Name
Daniel Lyman Ridout III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 W Country Club Rd, Roswell, NM, 88201-5205
Phone Number
575-624-4651
Fax Number
575-624-4875
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPI & TIN 01 NM BLUE CROSS BLUE SHIELD OF NM
institution
Provider Business Practice Location Address Details
Address
350 W Country Club Rd
City
Roswell
State
New Mexico
Zip
88201-5205
Phone Number
575-624-4651
Fax Number
575-624-4875
person
Provider Business Mailing Address Details
Address
350 W Country Club Rd
City
Roswell
State
New Mexico
Zip
88201-5205
Phone Number
575-624-4651
Fax Number
575-624-4875
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
0101237677 (Virginia)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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