Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G50653 | CA |
NPI | 1134171564 |
---|---|
Provider Name | Dr. William Henry Harrison Reeder III |
First Address | Redding, CA 96001-2449 |
Second Address | Redding, CA 96001-2449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 16/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G506530 | (05) | CA |
A51763 | (02) | CA |