Individual
MARY A REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
(719) 539-5275
Mailing address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
(719) 539-5275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31058
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01310580
—
CO
Enumeration date
09/14/2006
Last updated
12/07/2010
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