Individual
REID BRECKWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9533 DEVONSHIRE DR, HUNTERSVILLE, NC 28078-5868
(303) 933-8270
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
282090
NY
2085R0202X
Diagnostic Radiology Physician
Primary
9800790
NC
2085R0202X
Diagnostic Radiology Physician
MD210002939
DC
Other
Enumeration date
06/01/2005
Last updated
06/20/2025
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