Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 2017-01127 | NC |
NPI | 1013337146 |
---|---|
Provider Name | Ryan James Reichert |
First Address | Akron, OH 44303-1042 |
Second Address | Akron, OH 44302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2014 |
Last Update Date | 12/07/2018 |