Provider Demographics
NPI:1124275466
Name:REINHARD, ELISE CATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:ELISE
Middle Name:CATHERINE
Last Name:REINHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:P.O BOX 245036
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5036
Mailing Address - Country:US
Mailing Address - Phone:520-626-9660
Mailing Address - Fax:
Practice Address - Street 1:2750 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3573
Practice Address - Country:US
Practice Address - Phone:303-440-3169
Practice Address - Fax:303-440-3256
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ45714207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine