Individual
IAN REDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1 SYCAMORE ST APT 104, TERRE HAUTE, IN 47807-2608
(614) 271-2119
Mailing address
1 SYCAMORE ST APT 104, TERRE HAUTE, IN 47807-2608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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