-- JACOB JAMES RIDDER -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1508291717- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 12910 PIERCE ST STE 120, OMAHA, NE, 681441106
- Phone
- (402) 933-3770
- Fax
- (402) 933-3633
Specialties & Taxonomies
Dermatology
License: NE #1768
Physician Assistant, Medical
License: IA #002439
Physician Assistant, Medical
Primary License: NE #1768