Individual
THOMAS BRADLEY RIECHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 E 5TH ST, SUITE 108, WASHINGTON, MO 63090-3135
(636) 861-7870
(636) 861-7899
Mailing address
851 E 5TH ST, SUITE 108, WASHINGTON, MO 63090-3135
(636) 861-7870
(636) 861-7899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
103197
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206703100
—
MO
01
—
221032
ANTHEM BLUE CROSS AND BLUE SHIELD
MO
01
—
224979
HEALTHLINK
MO
01
—
272481555
GREAT WEST
—
01
—
331394
GROUP HEALTH PLAN
MO
01
—
3514
HEALTHCARE USA
MO
01
—
4405391
AETNA
MO
01
—
888890
MERCY CARE PLUS
MO
01
—
P00640364
RAILROAD MEDICARE
MO
Enumeration date
01/04/2006
Last updated
12/19/2013
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