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NPI Code Detail

MEDICARE: DR. ASHLEY READER D.O.

MEDICARE: DR. ASHLEY READER D.O.
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
1207N00000XDermatology Physician5315086501MI
2208D00000XGeneral Practice PhysicianUO 4912FL
3207N00000XDermatology Physician64088CO

General Provider Information

NPI Number : 1740638949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY READER D.O.
Provider Business Mailing Address
First Line : 7300 RANCH ROAD 2222, BLDG 1, STE 200
Second Line :
City : AUSTIN
State : TX
Zip : 78730-3255
Country : US
Telephone Number : 512-759-8932
Fax Number :
Provider Business Practice Location Address
First Line : 2857 CHARLESTOWN RD STE 100
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-1998
Country : US
Telephone Number : 812-944-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2016
Last Update Date : 06/21/2023

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