Provider Demographics
NPI:1295750057
Name:REEDER, STEVEN R (MD)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:R
Last Name:REEDER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1440 SO COUNTRY CLUB
Mailing Address - Street 2:#30
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210
Mailing Address - Country:US
Mailing Address - Phone:480-505-0500
Mailing Address - Fax:480-644-1372
Practice Address - Street 1:2550 E GUADALUPE RD
Practice Address - Street 2:#107
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-5114
Practice Address - Country:US
Practice Address - Phone:480-964-5800
Practice Address - Fax:480-632-5923
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-07-23
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Provider Licenses
StateLicense IDTaxonomies
AZ14219207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D44390Medicare UPIN
11WCJBL01Medicare ID - Type Unspecified