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Jacob James Ridder, PA-C
Medical Physician Assistant in Omaha, Nebraska
NPI 1508291717

Jacob James Ridder is a Medical Physician Assistant based in Omaha, NE and is specialized in Medical. Jacob James Ridder practices in Omaha, NE and has the professional credentials of PA-C. The NPI Number for Jacob James Ridder is 1508291717 and holds a License No. 1768 (Nebraska).

The current practice location address for Jacob James Ridder is 12910 Pierce St Ste 120, Omaha, NE and can be reached out via phone at 402-933-3770 and via fax at 402-933-3633. You can also correspond with Jacob James Ridder through the mailing address at 12910 PIERCE ST STE 120, OMAHA, NE - 68144-1106 (mailing address contact number: 402-933-3770).

Location: 12910 Pierce St Ste 120, Omaha, NE, 68144-1106
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Provider Profile Details
NPI Number
1508291717
Provider Name
Jacob James Ridder
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
12910 Pierce St Ste 120, Omaha, NE, 68144-1106
Phone Number
402-933-3770
Fax Number
402-933-3633
Provider Enumeration Date
09/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841673738 05 IA
10026411700 05 NE
institution
Provider Business Practice Location Address Details
Address
12910 Pierce St Ste 120
City
State
Zip
68144-1106
Phone Number
402-933-3770
Fax Number
402-933-3633
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Provider Business Mailing Address Details
Address
12910 Pierce St Ste 120
City
State
Zip
68144-1106
Phone Number
402-933-3770
Fax Number
402-933-3633
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
License No.
002439 (Iowa)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1768 (Nebraska)
Definition
Definition to come...
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