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NPI Code Detail

MEDICARE: DR. DON L REESE M.D.

MEDICARE: DR. DON L REESE M.D.
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
1207N00000XDermatology Physician164558-1205UT

General Provider Information

NPI Number : 1659350049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DON L REESE M.D.
Provider Business Mailing Address
First Line : 999 MURRAY HOLLADAY RD
Second Line : SUITE 207
City : SALT LAKE CITY
State : UT
Zip : 84117-4901
Country : US
Telephone Number : 801-268-2584
Fax Number : 801-262-1168
Provider Business Practice Location Address
First Line : 999 MURRAY HOLLADAY RD
Second Line : SUITE 207
City : SALT LAKE CITY
State : UT
Zip : 84117-4901
Country : US
Telephone Number : 801-268-2584
Fax Number : 801-262-1168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 02/08/2012

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