Individual
REESE A. VERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3399 E. LOUISE DR., #400, MERIDIAN, ID 83642
(208) 364-3000
Mailing address
3399 E LOUISE DR, #400, MERIDIAN, ID 83642-5047
(208) 364-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M7481
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805208300
—
ID
01
—
M7481
STATE LICENSE #
ID
Enumeration date
06/27/2006
Last updated
08/18/2013
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