Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 26941 | CO |
Y | 111NI0900X | Internist | 26941 | CO |
N | 207RG0300X | Geriatric Medicine | 26941 | CO |
NPI | 1033114053 |
---|---|
Provider Name | Dr. Robert Hood Reeves |
First Address | Colorado Springs, CO 80910-3113 |
Second Address | Colorado Springs, CO 80910-3146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 19/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01269414 | (05) | CO |
E05642 | (02) | CO |