GARY C RIDENOUR MD A PROF CORP NPI 1043253727

NPI Information

GARY C RIDENOUR MD A PROF CORP is a family medicine in Fallon, NV. The provider is 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. GARY C RIDENOUR MD A PROF CORP NPI is 1043253727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 W WILLIAMS AVE
STE B
FALLON, NV
ZIP 89406
Phone: (775) 423-6400
Fax: (775) 423-9411

The provider's authorized official is Gary Charles Ridenour .
The authorized official title is Md and has the following contact phone number (775) 423-6400.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 5/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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