Individual
JOHN EDWARD REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-7000
(334) 273-2228
Mailing address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-7000
(334) 273-2386
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25742
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111323
—
AL
Enumeration date
05/08/2007
Last updated
07/18/2023
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