Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | A97310 | CA |
NPI | 1427243435 |
---|---|
Provider Name | Dr. John Reed Rayher |
First Address | San Francisco, CA 94102-1401 |
Second Address | San Francisco, CA 94102-1401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2007 |
Last Update Date | 10/06/2008 |