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Individual
DAVID CARTER REDFERN
Active
Individual
DAVID CARTER REDFERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
30869
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132373
—
IA
01
—
42141730749
JOHN DEERE HEALTH CARE
IA
01
—
52489
WELLMARK INS PLAN
IA
Enumeration date
05/18/2006
Last updated
10/09/2007
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