Provider Demographics
NPI:1144288523
Name:REECE, RONALD EARL (MD)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:EARL
Last Name:REECE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2701 OLD EUREKA WAY
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0226
Mailing Address - Country:US
Mailing Address - Phone:530-246-0236
Mailing Address - Fax:530-246-0276
Practice Address - Street 1:2701 OLD EUREKA WAY
Practice Address - Street 2:SUITE 2A
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0226
Practice Address - Country:US
Practice Address - Phone:530-246-0236
Practice Address - Fax:530-246-0276
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2015-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG45548207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G455480Medicaid
CA00G455480OtherMEDICARE ID
CA00G455480Medicaid