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Leslie Riddle
NPI 1639750169 · on the registry since 2021
Practice
- Address
- 1231 Camelot Dr
Provo, UT 84601 - Phone
- (801) 691-9875
Additional practice sites
- 1840 S 1300 E, Salt Lake City, UT
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 390200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-29
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 Utah