Individual
MATTHEW JOSEPH REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
6 OFFICE PARK CIR, SUITE 100, BIRMINGHAM, AL 35223-2512
(205) 795-3125
(205) 795-3001
Mailing address
151 W BROOKS AVE, NORTH LAS VEGAS, NV 89030-3901
(702) 227-1835
(702) 227-4796
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
22741
AL
208D00000X
General Practice Physician
Primary
13742
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51510445
BLUECROSS BLUESHIELD
AL
Enumeration date
07/22/2005
Last updated
05/23/2016
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