Individual
ZACHARY DAVID REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168 MOBILE INFIRMARY BLVD, MOBILE, AL 36607-3510
(251) 433-1895
Mailing address
4752 OLD SHELL RD, MOBILE, AL 36608-2333
(239) 851-2271
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35016
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185075
—
AL
Enumeration date
04/21/2011
Last updated
02/22/2017
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