Individual
MICHAEL T REEDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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