MEDICARE: CHERYL R REE 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	6412	ND
2	207Q00000X	Family Medicine Physician	55700	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275604316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL R REE MD

Provider Business Mailing Address
First Line	:	PO BOX 10880
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86304-0880
Country	:	US
Telephone Number	:	928-636-5680
Fax Number	:	928-636-5853

Provider Business Practice Location Address
First Line	:	474 N HWY 89
Second Line	:
City	:	CHINO VALLEY
State	:	AZ
Zip	:	86323-5993
Country	:	US
Telephone Number	:	928-636-5680
Fax Number	:	928-636-5853

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

Provider Enumeration Date	:	11/12/2006
Last Update Date	:	11/12/2018

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Directions to “ CHERYL R REE MD” Practice Location

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