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Individual

DR. REDGE MONTE HAWKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1806 FOUNDATION LN, CHICO, CA 95928-9206
(530) 872-3038
(530) 872-8685
Mailing address
1806 FOUNDATION LN, CHICO, CA 95928-9206
(530) 872-3038
(530) 872-8685

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2424
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E24240
CA
Enumeration date
12/05/2005
Last updated
02/12/2019
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