Most Relevant Information
Provider Data
| NPI Number: | 1003345059 |
| Provider Name: | STEPHEN RIDDER OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 10383724-9934 |
Most Important Dates
| Enumeration Date: | 06/05/2017 |
| Last Updated: | 07/30/2020 |
Provider Practice Location
1083 N REDWOOD RD
SARATOGA SPRINGS
UT
840455179
Practice Location Phone/Fax
| Phone: | 8014074285 |
| Fax: | 8014274286 |
Provider Mailing Location
1083 N REDWOOD RD
SARATOGA SPRINGS
UT
840455179
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |