Eric Avery Reddick M.D.

NPI 1225354012 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1225354012
Gender Male
Enumeration Date 04/19/2010
Last Updated 04/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4502 E 41ST ST
TULSA OK, 74135-9923, US
Phone (918) 660-3505
Fax
Business Location
5143 S VANDALIA AVE APT 17G
TULSA OK, 74135-4022, US
Phone (918) 720-4400
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Eric Avery Reddick M.D. NPI is 1225354012, taxonomy code is 390200000X Eric Avery Reddick M.D. physically located at 4502 E 41st St, Tulsa OK, 74135-9923. NPI Number Eric Avery Reddick M.D. has the Individual type.

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1225354012 NPI number is provided on an as is basis without warranty of any kind. 1225354012 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Avery Reddick M.D. are for informational purposes only.