Provider Demographics
NPI:1649631367
Name:RITTER PEDIATRICS
Entity type:Organization
Organization Name:RITTER PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-806-8800
Mailing Address - Street 1:1312 S CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-6119
Mailing Address - Country:US
Mailing Address - Phone:918-806-8800
Mailing Address - Fax:918-286-7002
Practice Address - Street 1:10507 E 91ST ST
Practice Address - Street 2:STE. 150
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5589
Practice Address - Country:US
Practice Address - Phone:918-806-8800
Practice Address - Fax:918-286-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty