Individual
DR. PHILLIP JAMES REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1150 N SISTER CATHERINE WAY, NAMPA, ID 83687
(208) 302-7000
(208) 302-7055
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-7000
(208) 302-7055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0596
ID
Other
Enumeration date
11/28/2006
Last updated
07/21/2022
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