MEDICARE: MRS. PATRICIA R REIFF MD

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	207Q00000X	Family Medicine Physician	17334	AZ
2	207Q00000X	Family Medicine Physician	AZ17334	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1063400760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA R REIFF MD

Provider Business Mailing Address
First Line	:	1101 WEST MC DOWELL
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007
Country	:	US
Telephone Number	:	602-252-8089
Fax Number	:	602-252-8460

Provider Business Practice Location Address
First Line	:	1101 WEST MC DOWELL
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007
Country	:	US
Telephone Number	:	602-252-8089
Fax Number	:	602-252-8460

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	03/27/2014

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