Organization Name: | MICHAEL REINER MD PC |
NPI Number: | 1497085229 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICAEL DAVID REINER (PHYSICIAN) |
Mailing Address: | 1260 Blackhorn St Pahrump |
State: | NV US |
Postal Code: | 890488112 |
Phone Number: | 7023548554 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2009 |
NPI Last Update Date: | 12/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |