Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 45714 | AZ |
NPI | 1124275466 |
---|---|
Provider Name | Dr. Elise Catherine Reinhard |
First Address | Tucson, AZ 85724-5036 |
Second Address | Boulder, CO 80304-3573 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2008 |
Last Update Date | 16/07/2019 |