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NPI Code Detail

MEDICARE: DR. DREW AUBREY REESE D.O.

MEDICARE: DR. DREW AUBREY REESE D.O.
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 PhysicianO-1070ID
2207N00000XDermatology PhysicianDO150367OR
3207N00000XDermatology PhysicianOP60762580WA
4207N00000XDermatology Physician008872AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750394227
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DREW AUBREY REESE D.O.
Provider Business Mailing Address
First Line : 14800 W MOUNTAIN VIEW BLVD STE 160
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-2700
Country : US
Telephone Number : 623-584-3376
Fax Number : 623-584-3375
Provider Business Practice Location Address
First Line : 14800 W MOUNTAIN VIEW BLVD STE 160
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-2700
Country : US
Telephone Number : 623-584-3376
Fax Number : 623-584-3375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 04/06/2021

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