Individual
DR. ROGER S REDLEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
95 SOCKANOSSET CROSSROADS, SUITE 303, CRANSTON, RI 02920-5559
(401) 944-6582
(401) 943-8782
Mailing address
95 SOCKANOSSET CROSSROADS, SUITE 303, CRANSTON, RI 02920-5559
(401) 944-6582
(401) 943-8782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
RI166
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669464
UNITED HEALTH
—
01
—
9002
BLUE CROSS
RI
Enumeration date
07/25/2006
Last updated
07/25/2012
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