Matthew C Reeck MD

NPI 1124022801 - Dermatology - 207N00000X

NPI Details
NPI 1124022801
Gender Male
Enumeration Date 06/09/2005
Last Updated 02/05/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
191 W 5TH ST
KETCHUM ID, 83340-0000, US
Phone (208) 725-2171
Business Location
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax (812) 331-0196
Taxonomy Code 207N00000X
License State Indiana
License Number 01054306A
Remove 1124022801 NPI Number

According to our database, Dr. Matthew C Reeck MD NPI is 1124022801, taxonomy code is 207N00000X and license number is 01054306A, license state is located at Indiana. Matthew C Reeck MD physically located at 191 W 5th St, Ketchum ID, 83340-0000. NPI Number Matthew C Reeck MD has the Individual type.

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1124022801 NPI number is provided on an as is basis without warranty of any kind. 1124022801 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew C Reeck MD are for informational purposes only.