Provider Demographics
NPI:1003090481
Name:REILY, MELISSA RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:RAE
Last Name:REILY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:915 HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6902
Mailing Address - Country:US
Mailing Address - Phone:406-414-5000
Mailing Address - Fax:
Practice Address - Street 1:931 HIGHLAND BLVD STE 3260
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6907
Practice Address - Country:US
Practice Address - Phone:406-414-2410
Practice Address - Fax:406-414-5198
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT18608207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology