Provider Demographics
NPI:1346354511
Name:REEVE, ANTHONY PINO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:PINO
Last Name:REEVE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5110 SAN FRANCISCO RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4640
Mailing Address - Country:US
Mailing Address - Phone:505-797-7691
Mailing Address - Fax:505-797-7686
Practice Address - Street 1:5110 SAN FRANCISCO RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4640
Practice Address - Country:US
Practice Address - Phone:505-797-7691
Practice Address - Fax:505-797-7686
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2023-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM87-275208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME22695Medicare UPIN