Individual
MATTHEW KENNETH REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6028 S RIDGELINE DR, 201, OGDEN, UT 84405-6914
(801) 475-5400
(801) 475-8614
Mailing address
6028 S RIDGELINE DR, STE 201, SOUTH OGDEN, UT 84405-6908
(801) 475-5400
(801) 475-8614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013012534
MO
207R00000X
Internal Medicine Physician
Primary
5115898-1204
UT
Other
Enumeration date
06/17/2010
Last updated
07/05/2016
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