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Contact Information

DILLON J REIDER
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM87107-7002
 Phone: 505-266-5565
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DILLON J REIDER · (Male)

NPI # 1396375531
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2020
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # PA.0007286
  • NM License # PA2021-0071
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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