Individual
BRYAN RANDOLPH REIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1113 OAKRIDGE DR, FORT COLLINS, CO 80525-5591
(970) 225-0040
(970) 225-2996
Mailing address
1300 RIVERSIDE AVE STE 102, FORT COLLINS, CO 80524-4351
(970) 224-1670
(970) 495-6218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56390
CO
Other
Enumeration date
04/09/2014
Last updated
09/08/2021
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