Individual provider · Type 1 NPI

Timothy Cogan Riddle

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1952099657 Active

Practice location

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Call (408) 938-2113 Map

Fax (408) 579-6143

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952099657

Timothy Cogan Riddle's National Provider Identifier is 1952099657, issued on May 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on May 1, 2023.