Individual
DR. CLYDE R. REDMOND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W MAPLE AVE STE 403, SPRINGDALE, AR 72764-5374
(479) 757-4840
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 383-1011
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0438216
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2000156468
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
28924
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E9442
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME151402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200410930A
—
OK
05
—
201106810A
—
KS
05
—
204958706
—
MO
01
—
P01408842
RAIL ROAD MEDICARE
MO
Enumeration date
11/27/2006
Last updated
01/27/2026
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