Individual
DR. JEFFREY T REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1390 HIGHWAY 61, SUITE 3300, FESTUS, MO 63028-4137
(636) 931-6302
(636) 933-3609
Mailing address
12855 N FORTY DR, SUITE 300, SAINT LOUIS, MO 63141-8666
(314) 880-6100
(314) 997-3248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
101195
MO
207RI0011X
Interventional Cardiology Physician
Primary
112975
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203615521
—
MO
05
—
203615539
—
MO
Enumeration date
07/20/2005
Last updated
06/26/2012
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