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Individual

JAMES O REEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01037401A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000188159
ANTHEM PROVIDER NUMBER
IN
01
10825812
CAQH NUMBER
IN
01
9397378
PHCS PID NUMBER
IN
05
RE15732035
IN
Enumeration date
03/17/2006
Last updated
07/13/2026
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