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Individual

DR. RALPH B. REDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2104 CHESTNUT ST, MONTGOMERY, AL 36106-1113
(334) 801-9952
(334) 356-4195
Mailing address
2104 CHESTNUT ST, MONTGOMERY, AL 36106-1113
(334) 801-9952
(334) 356-4195

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00025324
AL
2086S0129X
Vascular Surgery Physician
MD.25324
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051553541
AL
01
51515844
BLUE CROSS
AL
Enumeration date
07/24/2006
Last updated
11/03/2022
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