Individual
JAMES LON REEDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
20201 CENTURY BLVD, STE 480 SURGICAL ANESTHESIA OF BOSSIER LLC, GERMANTOWN, MD 20874-1113
(301) 528-0222
Mailing address
PO BOX 1510, SURGICAL ANESTHESIA OF BOSSIER LLC, GERMANTOWN, MD 20875-1510
(301) 515-4222
(304) 515-4153
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN086365
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163333
—
LA
01
—
P00216453
RR MEDICARE
LA
Enumeration date
11/09/2005
Last updated
07/08/2007
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