Doctor Name: | DR. CLAYTON GEORGE REINHARDT |
NPI Number: | 1174554729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 20A 6323 |
Business Practice Address: | 4810 Saratoga Dr Redding, CA - 960029419 |
Business Phone Number: | 5302210557 |
Business Fax Number: | |
Mailing Address: | 4810 Saratoga Dr, REDDING |
State: | CA |
Postal Code: | 960029419 |
Phone Number: | 5302210557 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A 6323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |