Individual
THEODORE REDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8823
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33759
AZ
Other
Enumeration date
02/10/2006
Last updated
03/11/2019
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