Provider Demographics
NPI:1245203256
Name:REEVES, WILLIAM TURNER (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:TURNER
Last Name:REEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1257 PAIUTE CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3202
Mailing Address - Country:US
Mailing Address - Phone:702-382-0784
Mailing Address - Fax:702-384-5272
Practice Address - Street 1:1257 PAIUTE CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3202
Practice Address - Country:US
Practice Address - Phone:702-382-0784
Practice Address - Fax:702-384-5272
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA040983207Q00000X
NV13366207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00744301GMedicaid
GA00744301GMedicaid
G17667Medicare UPIN