Organization
REEDER PSYCHIATRY PLLC
Active
Other names
Reeder Psychiatry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONJA SUE MARTIN (OFFICE MANAGER)
(405) 420-6646
Entity
Organization
Contact information
Practice address
2515 NW 16TH ST, OKLAHOMA CITY, OK 73107-4839
(405) 420-6646
Mailing address
7926 N MAY AVE, OKLAHOMA CITY, OK 73120-4541
(405) 420-6646
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27106
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
—
Enumeration date
02/07/2018
Last updated
03/17/2018
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