Individual
DR. MATTHEW EDWARD REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4006 E BELL RD, PHOENIX, AZ 85032-2232
(602) 971-1312
Mailing address
4006 E BELL RD, PHOENIX, AZ 85032-2232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017253
AZ
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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