Provider Demographics
NPI:1952621443
Name:CHRISTOPHER REEDER & ASSOCIATES PLASTIC SURGERY LLC
Entity Type:Organization
Organization Name:CHRISTOPHER REEDER & ASSOCIATES PLASTIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-438-5333
Mailing Address - Street 1:6728 LOOP RD
Mailing Address - Street 2:BLDG. 5, SUITE 301
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-2196
Mailing Address - Country:US
Mailing Address - Phone:937-438-5333
Mailing Address - Fax:937-438-0160
Practice Address - Street 1:6728 LOOP RD
Practice Address - Street 2:BLDG. 5, SUITE 301
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-2196
Practice Address - Country:US
Practice Address - Phone:937-438-5333
Practice Address - Fax:937-438-0160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Single Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty