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Individual

MICHAEL T REEDER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
332 E ASPEN AVE, STE 100, FRUITA, CO 81521-2204
(970) 858-2020
(970) 858-6601
Mailing address
332 E ASPEN AVE, STE 100, FRUITA, CO 81521-2204
(970) 858-2020
(970) 858-6601

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2916
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10559078
CO
Enumeration date
05/14/2012
Last updated
03/03/2016
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