person
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. You can also correspond with Jay Riddle through the mailing address at PO BOX 1327, FORT BELVOIR, VA - 22060-1027 (mailing address contact number: 703-805-0193).

Location: 9501 Farrell Rd, Fort Belvoir, VA, 22060-1027
person
Provider Profile Details
NPI Number
1457341893
Provider Name
Jay Riddle
Credential
MD
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
institution
Provider Business Practice Location Address Details
Address
9501 Farrell Rd
City
State
Zip
22060-5901
Phone Number
703-805-0193
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 1327
City
State
Zip
22060-1027
Phone Number
703-805-0193
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
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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