Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | G21448 | CA |
NPI | 1407932890 |
---|---|
Provider Name | Stephen R Redmond |
First Address | Morgan Hill, CA 95037-5674 |
Second Address | Morgan Hill, CA 95037-5527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |