Raldon Blake Allred, DO Valid NPI

Individual provider · Emergency Medicine Physician · Goodyear, AZ

NPI

1508569286

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

R3958 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2023-03-23

Last updated

2026-06-01