Individual
NATHANIEL HARRISON REEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 272-9831
(505) 272-4156
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-4156
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD2022-1264
NM
207Y00000X
Otolaryngology Physician
MD61144891
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972965416
—
WA
Enumeration date
03/23/2016
Last updated
10/11/2024
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