Individual
DR. CONCHITA M REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2754 W REPUBLIC RD, SPRINGFIELD, MO 65807-3901
(417) 881-8812
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4E73
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13492
MO BLUE SHIELD
MO
05
—
202327011
—
MO
01
—
82115
ARK BLUE SHIELD
AR
Enumeration date
02/15/2007
Last updated
04/12/2026
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