TODD R RIDENOUR

GENESIS HEALTH SYSTEM

Dr TODD R RIDENOUR is a male medical professional, specializing in Neurosurgery. He graduated in 1986 from University Of South Dakota School Of Medicine.

Contact

GENESIS HEALTH SYSTEM

1230 E RUSHOLME ST
DAVENPORT
IA
528032400

Tel:

TODD R RIDENOUR Information

Npi 1306837075
Pac Id 4688720022
Professional Enrollment Id I20090925000473
Last Name RIDENOUR
First Name TODD
Middle Name R
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty NEUROSURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GENESIS HEALTH SYSTEM
Group Practice Pac Id 7214841436
Number Of Group Practice Members 295
Line 1 Street Address 1230 E RUSHOLME ST
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City DAVENPORT
State IA
Zip Code 528032400
Phone Number
Hospital Affiliation Ccn 1 160033
Hospital Affiliation Lbn 1 GENESIS MEDICAL CENTER-DAVENPORT
Hospital Affiliation Ccn 2 161313
Hospital Affiliation Lbn 2 GENESIS MEDICAL CENTER-DEWITT
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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