Search › Missouri › 2086S0122X
Brock Ridenour, MD
NPI 1164536710 · on the registry since 2006 · sole proprietor
Practice
- Address
- 12460 Olive Blvd
Suite 202
Saint Louis, MO 63141 - Phone
- (314) 909-1202
- Fax
- (314) 909-1290
Registry record
- Primary taxonomy
- 2086S0122X
2086S0122X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri