Individual
RONALD REIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1026 A AVENUE, CEDAR RAPIDS, IA 52402-3026
(319) 369-7393
(319) 369-8351
Mailing address
1026 A AVENUE, SUITE 5000, CEDAR RAPIDS, IA 52402-3026
(319) 368-5976
(319) 368-5932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21089
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305995
—
IA
01
—
P00731348
RR MEDICARE
—
Enumeration date
01/11/2006
Last updated
10/19/2009
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