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NPI Code Detail

MEDICARE: ALEX MICHAEL REODICA MD

MEDICARE: ALEX MICHAEL REODICA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician35086386OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306899877
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX MICHAEL REODICA MD
Provider Business Mailing Address
First Line : PO BOX 1649
Second Line :
City : AKRON
State : OH
Zip : 44309-1649
Country : US
Telephone Number : 330-563-0618
Fax Number : 330-563-0604
Provider Business Practice Location Address
First Line : 3730 TABS DR
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-9562
Country : US
Telephone Number : 330-563-0618
Fax Number : 330-563-0604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 02/13/2017

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