Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2003029895 | MO |
N | 207XS0117X | Orthopaedic Spine Surgeon | 20A10119 | CA |
NPI | 1013952357 |
---|---|
Provider Name | Dr. Chris R Reeves |
First Address | Branson, MO 65616 |
Second Address | Branson, MO 65616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 29/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I07242 | (02) | MO |