Doctor Name: | DONALD J. REESE |
NPI Number: | 1497872816 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC-002772 L |
Business Practice Address: | 28 W Broad St Nanticoke, PA - 186342203 |
Business Phone Number: | 5707351100 |
Business Fax Number: | 5707401386 |
Mailing Address: | 28 W Broad St, NANTICOKE |
State: | PA |
Postal Code: | 186342203 |
Phone Number: | 5707351100 |
Fax Number: | 5707401386 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | SC-002772 L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |