MEDICARE: AARON JOSEPH REICH PA-C

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1003388265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON JOSEPH REICH PA-C

Provider Business Mailing Address
First Line	:	PO BOX 5546
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80217-5546
Country	:	US
Telephone Number	:	801-475-3481
Fax Number	:	801-475-3494

Provider Business Practice Location Address
First Line	:	1916 N 700 W STE 250
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-5723
Country	:	US
Telephone Number	:	801-479-0312
Fax Number	:	801-479-3364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2018
Last Update Date	:	08/26/2021

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