Individual
DR. JON A. REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 S FREMONT AVE, SUITE 5000, SPRINGFIELD, MO 65804-2239
(417) 820-3960
(417) 820-3966
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R7H35
MO
2086S0129X
Vascular Surgery Physician
Primary
R7H35
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202524732
—
MO
Enumeration date
11/16/2006
Last updated
05/09/2013
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