Individual
JOSHUA L. REDDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-1125
(505) 272-2345
Mailing address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12404077-1205
UT
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
1971297
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/26/2020
Last updated
03/13/2026
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