Individual
THOMAS WESLEY REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
5460 MERLE HAY RD STE C, JOHNSTON, IA 50131-1239
(515) 254-0244
(515) 254-0309
Mailing address
5460 MERLE HAY RD STE C, JOHNSTON, IA 50131-1239
(515) 254-0244
(515) 254-0309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CP-1182
IA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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