Individual
DR. RICHARD G. REBER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 N OAKLAND AVE, DEPT. OF RADIOLOGY, BOLIVAR, MO 65613-3011
(417) 328-6446
(417) 328-6369
Mailing address
PO BOX 802758, KANSAS CITY, MO 64180-0001
(314) 645-4900
(314) 645-6548
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
103708
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-02601
UNITED HEALTHCARE
—
Enumeration date
09/02/2005
Last updated
07/09/2007
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