Trudy Reddick in Apache Junction - Physician Assistant
Trudy Reddick - NPI 1194753095
Trudy Reddick is a Physician Assistant in Apache Junction, Arizona. Trudy Reddick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Trudy Reddick is 1194753095. The last update date is 2015-04-10.
Trudy Reddick's current location address is 5347 E 10th Ave, Apache Junction, Arizona. You can contact this provider via phone number 6233303222. The mailing address for Trudy Reddick is 5347 E 10th Ave, Apache Junction, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trudy Reddick |
|---|---|
| Address | 5347 E 10th Ave, Apache Junction, Arizona |
| Phone Number | 6233303222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1194753095 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2015-04-10 |
Provider Mailing Address Detail
| Address | 5347 E 10th Ave |
|---|---|
| City | Apache Junction |
| State | Arizona (AZ) |
| Post Code | 851199346 |
| Phone Number | 6233303222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3221 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 973033 | AZ | -- |
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What is the unique 10-digit identification code issued to Trudy Reddick by the Centers for Medicare & Medicaid Services?
The Trudy Reddick has been assigned the NPI (National Provider Identifier) 1194753095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Trudy Reddick?
The Trudy Reddick is physically situated at 5347 E 10Th Ave, in the city of Apache Junction, state of AZ, with the postal code 851199346.
What is Trudy Reddick's area of expertise and its corresponding taxonomy classification?
The Trudy Reddick's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194753095 to Trudy Reddick?
The Centers for Medicare & Medicaid Services originally issued the 1194753095 to Trudy Reddick on 2006-06-29.
When was the information regarding Trudy Reddick most recently updated?
The details pertaining to the Trudy Reddick, including its address, specialty, and other relevant information, were last refreshed on 2015-04-10.