Individual
GREGORY REICHHARDT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1517 16TH AVENUE CT, GREELEY, CO 80631-4574
(970) 392-2490
(970) 392-2177
Mailing address
1517 16TH AVENUE CT, GREELEY, CO 80631-4574
(970) 392-2490
(970) 392-2177
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31969
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01319698
—
CO
Enumeration date
03/23/2006
Last updated
07/08/2007
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