Provider Demographics
NPI:1720205628
Name:REIF, KAREN JOYCE (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JOYCE
Last Name:REIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:JOYCE
Other - Last Name:REIF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:90 TRAILS END RD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-9268
Mailing Address - Country:US
Mailing Address - Phone:406-586-7563
Mailing Address - Fax:
Practice Address - Street 1:SWINGLE STUDENT HEALTH SERVICE 7TH AVE. S.
Practice Address - Street 2:MONTANA ST. UNIVERSITY
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59717-3260
Practice Address - Country:US
Practice Address - Phone:406-994-2311
Practice Address - Fax:406-994-2504
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine