Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 41411 | AZ |
N | 2086S0105X | Surgery of the Hand | M8945 | TX |
NPI | 1225232796 |
---|---|
Provider Name | Edward Martin Reece |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Phoenix, AZ 85004-1214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 10/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
409737 | (05) | AZ |