Individual
DR. MARK REDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2330 SHAWNEE MISSION PKWY, WESTWOOD, KS 66205-2005
(913) 588-6805
(913) 588-7899
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6805
(913) 588-7899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-24522
KS
2085R0202X
Diagnostic Radiology Physician
111830
MO
Other
Enumeration date
03/02/2006
Last updated
08/01/2014
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