Individual
ADELA REDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
7827 WANDA AVE, SAINT LOUIS, MO 63123-4836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007333
IL
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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