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Individual
DR. TERRY A. REICHELDERFER
Active
Individual
DR. TERRY A. REICHELDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954231630
TAX ID #
CA
01
—
A26005
MEDICAL LICENSE NUMBER
CA
Enumeration date
08/16/2006
Last updated
11/25/2008
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