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DR. TRAVIS JOHN RIDDELL M.D. NPI 1720255128


NPI Information

NPI: 1720255128
Provider Name: DR. TRAVIS JOHN RIDDELL, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
557 E. BROADWAY
JACKSON, WY
ZIP 83001
Phone: (307) 733-4627
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DR. Travis John Riddell, M.D. is a pediatrics in Jackson, WY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Travis John Riddell, M.D. NPI is 1720255128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

557 E. BROADWAY
JACKSON, WY
ZIP 83001
Phone: (307) 733-4627

The enumeration date for this NPI number is 5/14/2008 and was last updated on 7/2/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics229430MASSACHUSETTSNo
2208000000XPediatricsM-10596IDAHONo
3208000000XPediatrics8169AWYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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