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NPI Code Detail

MEDICARE: MR. RICHARD ASHLEY REED SR. OPA-C

MEDICARE: MR. RICHARD ASHLEY REED SR. OPA-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
1174400000XSpecialist780

General Provider Information

NPI Number : 1033191523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD ASHLEY REED SR. OPA-C
Provider Business Mailing Address
First Line : N16966 CHITKO LN
Second Line :
City : PEMBINE
State : WI
Zip : 54156-9457
Country : US
Telephone Number : 715-330-4107
Fax Number :
Provider Business Practice Location Address
First Line : 325 E H ST
Second Line :
City : IRON MOUNTAIN
State : MI
Zip : 49801-4760
Country : US
Telephone Number : 906-774-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 01/14/2010

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