Organization
JACOB B. REDEKOP MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB B. REDEKOP MD (MEDICAL DOCTOR)
(520) 299-2248
Entity
Organization
Contact information
Practice address
5201 N CAMINO ESCUELA, TUCSON, AZ 85718-5016
(520) 299-2248
(520) 299-2248
Mailing address
5201 N CAMINO ESCUELA, TUCSON, AZ 85718-5016
(520) 299-2248
(520) 299-2248
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4770
AZ
291U00000X
Clinical Medical Laboratory
4770
AZ
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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