Individual
ANN E REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
909 W 1ST ST, SUMNER, IA 50674-1203
(563) 578-3279
(563) 578-3279
Mailing address
PO BOX 148, 909 WEST FIRST STREET, SUMNER, IA 50674-0148
(563) 578-3275
(563) 578-3279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1115
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970031149
RR MEDICARE
IA
Enumeration date
09/26/2005
Last updated
08/17/2016
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