Individual
W. CARLTON RECKLING
Active
Individual
W. CARLTON RECKLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
23198
NE
207XS0117X
Orthopaedic Surgery of the Spine Physician
35806
MN
207XS0117X
Orthopaedic Surgery of the Spine Physician
41285
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
5784A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111303800
—
WY
01
—
200041565
RAILROAD MEDICARE
WY
01
—
308697
BLUE CROSS BLUE SHIELD
WY
Enumeration date
08/30/2006
Last updated
12/28/2010
Update your record
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