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NPI Code Detail

MEDICARE: ROGER B REED DPM PC

MEDICARE: ROGER B REED DPM PC
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
1332B00000XDurable Medical Equipment & Medical Supplies37387NV
2213ES0103XFoot & Ankle Surgery Podiatrist

General Provider Information

NPI Number : 1538112107
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROGER B REED DPM PC
Provider Business Mailing Address
First Line : 129 W LAKE MEAD PKWY
Second Line : #B-18
City : HENDERSON
State : NV
Zip : 89015-7055
Country : US
Telephone Number : 702-719-1349
Fax Number : 702-558-1522
Provider Business Practice Location Address
First Line : 2649 W HORIZON RIDGE PKWY
Second Line : #100
City : HENDERSON
State : NV
Zip : 89052-4801
Country : US
Telephone Number : 702-565-6641
Fax Number : 702-565-9249
Authorized Official
Title or Position : CORPORATION PARTNER
Name : ROGER B REED
Credential : DPM
Telephone Number : 702-719-1349
Provider Enumeration Date : 05/18/2006
Last Update Date : 03/13/2008

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