Provider Demographics
NPI:1417155318
Name:REEDER, CHERYL JOAN (DO)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:JOAN
Last Name:REEDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1102 E CLARK AVE STE 120A
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-5175
Mailing Address - Country:US
Mailing Address - Phone:805-332-8185
Mailing Address - Fax:805-332-8186
Practice Address - Street 1:1102 E CLARK AVE STE 120A
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-5175
Practice Address - Country:US
Practice Address - Phone:805-332-8182
Practice Address - Fax:805-332-8186
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA10874207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine