Individual
DR. MICHAEL F REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 N BEAVER ST, FLAGSTAFF, AZ 86001-3120
(928) 773-2200
(928) 773-2300
Mailing address
PO BOX 967, FLAGSTAFF, AZ 86002-0967
(928) 773-0003
(928) 773-1170
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
19443
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36111
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M-11933
ID
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD165581
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MEDPHYSCOMLIC112031
MT
207RP1001X
Pulmonary Disease Physician
19443
NV
207RP1001X
Pulmonary Disease Physician
Primary
36111
AZ
207RP1001X
Pulmonary Disease Physician
36811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158034
—
AZ
Enumeration date
10/25/2006
Last updated
03/18/2024
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