Organization
REDIMEDIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROBERT SHAW MD (MEDICAL DIRECTOR)
(805) 644-4809
Entity
Organization
Contact information
Practice address
3418 LOMA VISTA RD, SUITE B, VENTURA, CA 93003-3016
(805) 644-4809
(805) 654-7090
Mailing address
3418 LOMA VISTA RD, SUITE B, VENTURA, CA 93003-3016
(805) 644-4809
(805) 654-7090
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G47926
CA
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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