Search › Nebraska › 363AM0700X
Jacob Ridder, PA-C
NPI 1508291717 · on the registry since 2013
Practice
- Address
- 12910 Pierce St Ste 120
Omaha, NE 68144 - Phone
- (402) 933-3770
- Fax
- (402) 933-3633
- Organisation at this address
- Advanced Dermatology Of The Midlands Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 928 Valley View Dr Ste 10, Council Bluffs, IA
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 207N00000X
363AM0700X - Licence states on file
- NE, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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 Nebraska