Individual
DONALD J. REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
28 W BROAD ST, NANTICOKE, PA 18634-2203
(570) 735-1100
(570) 740-1386
Mailing address
28 W BROAD ST, NANTICOKE, PA 18634-2203
(570) 735-1100
(570) 740-1386
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC-002772 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213309
—
PA
Enumeration date
03/22/2007
Last updated
03/24/2010
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