Individual
GREGORY C REICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2570 PATTERSON RD, GRAND JUNCTION, CO 81505-1438
(970) 298-6601
(970) 298-6641
Mailing address
2503 FORESIGHT CIRCLE, GRAND JUNCTION, CO 81505
(970) 242-2660
(970) 242-4917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29342
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293422
—
CO
01
—
080032251
RAIL ROAD MEDICARE
CO
01
—
29342
MEDICAL LICENSE NUMBER
CO
01
—
REU8418
BLUE CROSS BLUE SHIELD
CO
Enumeration date
08/02/2005
Last updated
10/14/2021
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