Provider Demographics
NPI:1104972975
Name:REARDEN, ANN C (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:C
Last Name:REARDEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9300 CAMPUS POINT DRIVE
Mailing Address - Street 2:MC 0612
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-0612
Mailing Address - Country:US
Mailing Address - Phone:858-657-6595
Mailing Address - Fax:858-657-6045
Practice Address - Street 1:9300 CAMPUS POINT DRIVE
Practice Address - Street 2:MC 0612
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-0612
Practice Address - Country:US
Practice Address - Phone:858-657-6595
Practice Address - Fax:858-657-6045
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG26945207ZB0001X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology