Individual
RON REDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 206-3861
Mailing address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106648
MO
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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