Individual
DANER R REIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14681 RAINTREE LN, TUSTIN, CA 92780-7123
(714) 293-5943
Mailing address
14681 RAINTREE LANE, TUSTIN, CA 92780
(714) 832-8177
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G21884
CA
Other
Enumeration date
10/04/2006
Last updated
02/23/2010
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