Rediclinic LLC

NPI #1609915214 in Colonial Heights, Virginia

Provider Information

NPI Number: 1609915214
Entity Type: Organization
Organization Name: Rediclinic LLC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 6, 2007
Last Updated: Jan 20, 2009

Practice Location

Address: 671 SOUTHPARK BLVD
City: Colonial Heights
State: Virginia
ZIP Code: 23834-3617
Phone: (866) 935-0333

Authorized Official

Name: ERIC P FOURNET
Title: CFO
Phone: (713) 580-9468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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