Ridenour, Brock Davis

Ridenour, Brock Davis is an sole proprietor health care provider with primary practice located at 12460 Olive Blvd Suite 202, Saint Louis MO 63141-6409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Ridenour, Brock Davis can be contacted via phone (314) 909-1202.

Contact Information

Primary practice address
12460 Olive Blvd Suite 202 Saint Louis MO 63141-6409
Phone: (314) 909-1202
Fax: (314) 909-1290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 101951 Missouri

Profile Details

NPI number 1164536710
LBN Legal business name Ridenour, Brock Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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