Individual
DR. PETER DEAN REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
255 S 17TH ST FL 30, PHILADELPHIA, PA 19103-6207
(215) 735-5911
Mailing address
PO BOX 1237, EXTON, PA 19341-0940
(610) 524-2171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006411L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC006411
LICENSE NUMBER
PA
Enumeration date
08/28/2007
Last updated
08/28/2007
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