Dr. Jay Riddle, MD - Fort Belvoir, VA

Dr. Jay Riddle, MD

Military Health Care Provider in Fort Belvoir, Virginia

NPI 1457341893

Jay Riddle is a Military Health Care Provider based in Fort Belvoir, VA. Jay Riddle practices in Fort Belvoir, VA and has the professional credentials of MD. The NPI Number for Jay Riddle is 1457341893 and holds a License No. 54289 (Virginia).

The current practice location address for Jay Riddle is 9501 Farrell Rd, Fort Belvoir, VA and can be reached out via phone at 703-805-0193.

Location: 9501 Farrell Rd, Fort Belvoir, VA, 22060-1027

NPI Number

1457341893

Provider Name

Jay Riddle

Credential

Provider Entity Type

Individual

Gender

Male

Address

9501 Farrell Rd, Fort Belvoir, VA, 22060-1027

Phone Number

703-805-0193

Fax Number

Provider Enumeration Date

10/26/2005

Last Update Date

03/08/2024

Address

9501 Farrell Rd

City

Fort Belvoir

State

Virginia

Zip

22060-5901

Phone Number

703-805-0193

Fax Number

Address

9501 Farrell Rd

City

Fort Belvoir

State

Virginia

Zip

22060-5901

Phone Number

703-805-0193

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

54289 (Virginia)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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