Individual
TADD OLIN KNOX RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3062 TROUTMAN DR, BEALE AFB, CA 95903-2329
(916) 757-4603
Mailing address
3062 TROUTMAN DR, BEALE AFB, CA 95903-2329
(916) 757-4603
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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