Richard Glen Reller in Surprise - Specialist
Richard Glen Reller - NPI 1659417178
Richard Glen Reller is a Specialist in Surprise, Arizona. Richard Glen Reller practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard Glen Reller is 1659417178. The last update date is 2007-07-08.
Richard Glen Reller's current location address is 13327 N 152nd Ave, Surprise, Arizona. You can contact this provider via phone number 6027692532. The mailing address for Richard Glen Reller is 13327 N 152nd Ave, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Glen Reller |
|---|---|
| Address | 13327 N 152nd Ave, Surprise, Arizona |
| Phone Number | 6027692532 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTRL |
NPI Number Detail
| NPI Number | 1659417178 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13327 N 152nd Ave |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853799119 |
| Phone Number | 6027692532 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 102478 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Richard Glen Reller by the Centers for Medicare & Medicaid Services?
The Richard Glen Reller has been assigned the NPI (National Provider Identifier) 1659417178. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Richard Glen Reller?
The Richard Glen Reller is physically situated at 13327 N 152Nd Ave, in the city of Surprise, state of AZ, with the postal code 853799119.
What is Richard Glen Reller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Glen Reller's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659417178 to Richard Glen Reller?
The Centers for Medicare & Medicaid Services assigned the 1659417178 to Richard Glen Reller on 2007-01-30.
As of what date were the details pertaining to Richard Glen Reller last refreshed?
The information related to the Richard Glen Reller, including its address, specialty, and other relevant details, was last updated on 2007-07-08.