Individual
JAMES REESE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
UNM HSC DEPARTMENT OF NEUROLOGY, 1 UNIVERSITY OF NEW MEXICO; MSC 10-5620, ALBUQUERQUE, NM 87131-0001
(505) 272-4517
(505) 272-6692
Mailing address
UNM HSC DEPARTMENT OF NEUROLOGY, 1 UNIVERSITY OF NEW MEXICO; MSC 10-5620, ALBUQUERQUE, NM 87131-0001
(505) 272-4517
(505) 272-6692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.202328
LA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
D72119
MD
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD039269
DC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD2015-0909
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1191591
MEDICAID PROVIDER NUMBER
LA
Enumeration date
03/05/2007
Last updated
01/04/2016
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