Individual
PAUL A REISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9537
(909) 397-0194
Mailing address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9537
(909) 397-0194
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G80478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G804780
MEDI CAL
CA
Enumeration date
11/29/2005
Last updated
08/01/2007
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