Individual
JUSTIN REDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14400 BOGERT PKWY, OKLAHOMA CITY, OK 73134-2652
(844) 346-7366
Mailing address
2744 RED WOLF DR, FORT WORTH, TX 76244-5503
(817) 600-7745
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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