Individual
DEIDRE D REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-1724
(304) 388-1721
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31368
WV
208100000X
Physical Medicine & Rehabilitation Physician
35073959R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228201
ANTHEM
OH
05
—
2140874
—
OH
Enumeration date
01/10/2007
Last updated
09/05/2023
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