Individual provider · Type 1 NPI

Ryder J. Champouillon, MSOM, L.AC

Acupuncturist · Port Jefferson Station, NY

NPI number 1265763072 Active

About NPI 1265763072

Ryder J. Champouillon, MSOM, L.AC's National Provider Identifier is 1265763072, issued on Jan 18, 2010. The primary taxonomy on file is Acupuncturist (171100000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Aug 9, 2013.