Provider Demographics
NPI:1083607634
Name:REECE, JULIANNA JEAN (MD)
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:JEAN
Last Name:REECE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIANNA
Other - Middle Name:JEAN
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:129 MEDICINE HORSE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:TOHAJIILEE
Mailing Address - State:NM
Mailing Address - Zip Code:87026-5145
Mailing Address - Country:US
Mailing Address - Phone:505-908-2307
Mailing Address - Fax:505-908-2310
Practice Address - Street 1:129 MEDICINE HORSE DR
Practice Address - Street 2:
Practice Address - City:TOHAJIILEE
Practice Address - State:NM
Practice Address - Zip Code:87026-5145
Practice Address - Country:US
Practice Address - Phone:505-908-2307
Practice Address - Fax:505-908-2310
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2017-0490207Q00000X
CAA81004207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH77419Medicare UPIN