Provider Demographics
NPI:1760632855
Name:ANNE-MARIE REED,D.O.,P.L.L.C.
Entity Type:Organization
Organization Name:ANNE-MARIE REED,D.O.,P.L.L.C.
Other - Org Name:CAMELBACK HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, DPM
Authorized Official - Phone:602-368-5861
Mailing Address - Street 1:3900 E CAMELBACK RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2614
Mailing Address - Country:US
Mailing Address - Phone:602-368-5861
Mailing Address - Fax:602-651-1532
Practice Address - Street 1:3900 E CAMELBACK RD
Practice Address - Street 2:SUITE 150
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2614
Practice Address - Country:US
Practice Address - Phone:602-368-5861
Practice Address - Fax:602-651-1532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3885207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZI02988Medicare UPIN