IndividualActive
David Ridder, M.D.
NPI 1154778207 · Trauma Surgery Physician · Lake Havasu City, AZ
Provider details
- NPI number
- 1154778207
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25544 (NV)
Practice location
1851 Mesquite Ave Ste 210
Lake Havasu City, AZ 86403-5681
Phone: (928) 854-7540
Fax: (928) 885-4240
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.