Individual provider · Type 1 NPI
Angie Jouaneh Riddleberger, P.A, .
Medical Physician Assistant · Boulder, CO
NPI number
1831174366
Active
Practice location
2750 Broadway St
Boulder, CO 80304-3573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1803 (CO) |
Medical Physician Assistant: Definition to come...
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About NPI 1831174366
Angie Jouaneh Riddleberger, P.A, .'s National Provider Identifier is 1831174366, issued on Dec 7, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boulder, CO. The record was last updated on May 8, 2008.