Individual
ALEX G REISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5377 MANHATTAN CIR STE 200, BOULDER, CO 80303-4345
(303) 225-6625
(303) 225-6626
Mailing address
4800 BASELINE RD., E-104, #274, BOULDER, CO 80303
(303) 225-6625
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
46517
CO
207Q00000X
Family Medicine Physician
46517
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62451383
—
CO
Enumeration date
05/04/2007
Last updated
03/17/2018
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