Individual provider · Type 1 NPI

Jay Riddle, MD

Military Health Care Provider · Fort Belvoir, VA

NPI number 1457341893 Active

Practice location

9501 Farrell Rd, Suite GC-11
Fort Belvoir, VA 22060-5901

Call (703) 805-0193 Map

Mailing address

PO Box 1327
Fort Belvoir, VA 22060-1027

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X54289 (VA)

Military Health Care Provider: 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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About NPI 1457341893

Jay Riddle, MD's National Provider Identifier is 1457341893, issued on Oct 26, 2005. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Belvoir, VA. The record was last updated on Mar 26, 2010.