Rediclinic LLC
NPI #1285752527 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1285752527
- Entity Type
- Organization
- Organization Name
- Rediclinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Jan 20, 2009
Practice Location
- Address
- 11400 W BROAD ST
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23060-5821
- Phone
- (866) 935-0333
Authorized Official
- Name
- ERIC P FOURNET
- Title
- CFO
- Phone
- (713) 580-9468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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