Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 9614 | MT |
N | 1223G0001X | General Practice | DS037031 | PA |
N | 213EG0000X | General Practice | DS037031 | PA |
NPI | 1124160874 |
---|---|
Provider Name | Dr. Verne Reed |
First Address | Kalispell, MT 59901-2130 |
Second Address | Kalispell, MT 59901-2130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 16/01/2019 |