Individual
MITCHELL S REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1508 WILLOW LAWN DR, STE 117, RICHMOND, VA 23230-3421
(804) 282-8102
(804) 282-3744
Mailing address
1508 WILLOW LAWN DR, STE 117, RICHMOND, VA 23230-3421
(804) 282-8102
(804) 282-3744
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0101028439
VA
2085N0700X
Neuroradiology Physician
0101028439
VA
2085N0904X
Nuclear Radiology Physician
0101028439
VA
2085P0229X
Pediatric Radiology Physician
0101028439
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101028439
VA
2085U0001X
Diagnostic Ultrasound Physician
0101028439
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007201401
—
VA
05
—
007201435
—
VA
05
—
007216246
—
VA
05
—
007238860
—
VA
05
—
010132908
—
VA
05
—
010250064
—
VA
01
—
224564
ANTHEM
VA
Enumeration date
02/14/2006
Last updated
04/25/2008
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