Dr. Robert Steven Riddick
Surgeon Cardiothoracic Vascular Surgeon
30 7th St W
Dickinson
, North Dakota 58601-4335
Dr. Robert Steven Riddick
Surgeon Cardiothoracic Vascular Surgeon
30 7th St W
Dickinson
, North Dakota 58601-4335
(541) 217-0600
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Robert Steven Riddick
- 1036c Smokey Holw
- Dickinson, ND
- Zip : 58601-3672
- Phone : (541) 217-0600
Second Address
- Dr. Robert Steven Riddick
- 30 7th St W
- Dickinson, ND
- Zip : 58601-4335
- Phone : (701) 456-4387
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 12077 | ND |
| Y | 208600000X | Surgeon | 12077 | ND |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | 12077 | ND |
National Provider Identifier
| NPI | 1093711871 |
|---|---|
| Provider Name | Dr. Robert Steven Riddick |
| First Address | Dickinson, ND 58601-3672 |
| Second Address | Dickinson, ND 58601-4335 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2005 |
| Last Update Date | 08/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12077 | MEDICAL LICENSE (01) | ND |
| 545777844A | (05) | ND |
| F94339 | (02) | ND |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.