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Individual
RONALD JOSEPH REARDON
Active
Individual
RONALD JOSEPH REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C41483
CA
207Q00000X
Family Medicine Physician
Primary
G5519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080170243
RAILROAD MEDICARE INDIVIDUAL
TX
01
—
1222970
UNITED HEALTHCARE
TX
01
—
154847503398
HUMANA
TX
01
—
8AD976
BCBS
TX
01
—
8K7703
MEDICARE PTAN
TX
Enumeration date
02/24/2007
Last updated
02/09/2012
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