Individual
DR. HANS THURGOOD REDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SHC, REXBURG, ID 83460-2010
(208) 496-1300
(208) 496-1306
Mailing address
100 SHC BLDG, REXBURG, ID 83460
(208) 496-1300
(208) 496-1306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M 7079
ID
208000000X
Pediatrics Physician
Primary
M 7079
ID
Other
Enumeration date
12/29/2005
Last updated
09/11/2025
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