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Organization

REDIDOC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN LUKE (MANAGING MEMBER)
(480) 269-4397
Entity
Organization

Contact information

Practice address
20343 N HAYDEN RD STE 105, SCOTTSDALE, AZ 85255-3876
(888) 309-1666
(888) 883-0665
Mailing address
20343 N HAYDEN RD STE 105, SCOTTSDALE, AZ 85255-3876
(888) 309-1666

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
111N00000X
Chiropractor
207N00000X
Dermatology Physician
207ND0900X
Dermatopathology Physician
207Q00000X
Family Medicine Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
11/16/2016
Last updated
11/16/2016
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