John K Reis Md Pc | |
3052 N Snow Canyon Pkwy Unit 38 St George UT 84770-6162 | |
(801) 540-0802 | |
Not Available |
Full Name | John K Reis Md Pc |
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Speciality | Family Medicine |
Location | 3052 N Snow Canyon Pkwy, St George, Utah |
Authorized Official Name and Position | John K Reis (OWNER) |
Authorized Official Contact | 8015400802 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John K Reis Md Pc 3052 N Snow Canyon Pkwy Unit 38 St George UT 84770-6162 Ph: (801) 540-0802 | John K Reis Md Pc 3052 N Snow Canyon Pkwy Unit 38 St George UT 84770-6162 Ph: (801) 540-0802 |
NPI Number | 1689075921 |
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Provider Enumeration Date | 09/05/2014 |
Last Update Date | 09/05/2014 |
Medicare PECOS PAC ID | 5092023606 |
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Medicare Enrollment ID | O20151001000887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689075921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00034551 (Utah) | Primary |
Provider Name | John K Reis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588689095 PECOS PAC ID: 2264330760 Enrollment ID: I20051109001247 |
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