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1386678159

NPI Code Detail

MEDICARE: AMBER C REISS-HOLT

MEDICARE: AMBER C REISS-HOLT

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	2086S0102X	Surgical Critical Care Physician	MD2023-1112	NM
2	208D00000X	General Practice Physician	49984	CO
3	2086S0102X	Surgical Critical Care Physician	49984	CO
4	207P00000X	Emergency Medicine Physician	49984	CO
5	2086S0102X	Surgical Critical Care Physician	A83063	CA
6	208600000X	Surgery Physician	49984	CO

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	:	1386678159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER C REISS-HOLT

Provider Business Mailing Address
First Line	:	27B TALISMAN DR UNIT 3
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-7914
Country	:	US
Telephone Number	:	970-372-0456
Fax Number	:

Provider Business Practice Location Address
First Line	:	27B TALISMAN DR UNIT 3
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-7914
Country	:	US
Telephone Number	:	970-372-0456
Fax Number	:

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	01/16/2026

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Practice Location Address:

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1871290288 — TAYLOR G WRIGHT PC
Practice Location Address:

27B TALISMAN DR UNIT 2
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Directions to “ AMBER C REISS-HOLT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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