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Individual

DR. RALPH CHRISTOPHER REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1055 N 500 W STE 112, PROVO, UT 84604-3305
(801) 812-4624
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12546585-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111257107
MEDICARE
KS
05
511478
AZ
01
573908YQ33
MEDICARE PIN
CO
01
573908YQN9
MEDICARE PIN
CO
01
573908YQPG
MEDICARE PIN
CO
01
573908ZNTB
MEDICARE PIN
CO
01
KA3249098
MEDICARE
KS
Enumeration date
07/07/2007
Last updated
03/27/2025
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