Basic Information
Provider Information
NPI: 1154367845
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REEB
FirstName: STEVEN
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 20970
Address2:  
City: CHEYENNE
State: WY
PostalCode: 820037020
CountryCode: US
TelephoneNumber: 3076337444
FaxNumber: 3076337621
Practice Location
Address1: 2301 HOUSE AVE
Address2: STE 300
City: CHEYENNE
State: WY
PostalCode: 820013176
CountryCode: US
TelephoneNumber: 3076354141
FaxNumber: 3076356587
Other Information
ProviderEnumerationDate: 06/21/2006
LastUpdateDate: 11/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X5530AWYY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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