Individual
JOHN WALLACE REEDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 LITTON DR, #100, GRASS VALLEY, CA 95945-5077
(530) 272-9780
(530) 272-0156
Mailing address
140 LITTON DR, #100, GRASS VALLEY, CA 95945-5077
(530) 272-9780
(530) 272-0156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G35403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G35403
—
CA
Enumeration date
06/15/2006
Last updated
07/08/2007
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