Individual
PETER REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4885
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A112386
CA
208M00000X
Hospitalist Physician
Primary
A112386
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2007
Last updated
12/15/2021
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