NPI 1194753095

Trudy Reddick, PAC

Practitioner Physician Assistant Avondale, AZ

Practice location

Address: 13075 W McDowell Rd STE D106, Avondale, AZ 85323-6436
Phone: (480) 776-1588
Fax: (623) 547-0521
Mailing address: 5347 E 10th Ave, Apache Junction, AZ 85119-9346

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3221 (AZ)

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Registry record

NPI: 1194753095
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2006
Record last updated: 10 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.