Individual
DR. MARK JOSEPH REDDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
900 N HIGHWAY 67, FLORISSANT, MO 63031-2919
(314) 838-0300
(314) 838-4682
Mailing address
7 OLD JAMESTOWN CT, FLORISSANT, MO 63034-1725
(314) 355-6607
(314) 741-7782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02531
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257404410
MISSOURI LICENSE
MO
Enumeration date
07/03/2006
Last updated
11/09/2022
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