Individual
SAMUEL J. RECK
Active
Individual
SAMUEL J. RECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11304
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000098456
BCBS PIN
MT
01
—
0115753
MDCD PIN
MT
01
—
123851500
MDCD PIN
WY
Enumeration date
01/04/2007
Last updated
02/16/2024
Update your record
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