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General NPI Number Information
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NPI Number | 1922074731
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Entity Type | Individual
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Provider Name | ALICE CAROL REIER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 3300 WEBSTER ST STE 900
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City | OAKLAND
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State | CA
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Zip | 94609-3156
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Country | US
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Telephone | 510-834-3700
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Fax | 510-834-5015
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Provider Business Mailing Address
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Address Line | PO BOX 996
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City | HAYDEN
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State | ID
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Zip | 83835-0996
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Country | US
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Telephone | 208-664-4026
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Fax | 855-532-5921
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G81697
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 01090098A
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License Number State | IN
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