Provider Demographics
NPI:1235671298
Name:REICHER, DAVID LEE (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:REICHER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12138 HENESON GARTH
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1600
Mailing Address - Country:US
Mailing Address - Phone:410-356-2691
Mailing Address - Fax:410-356-2247
Practice Address - Street 1:12138 HENESON GARTH
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1600
Practice Address - Country:US
Practice Address - Phone:410-356-2691
Practice Address - Fax:410-356-2247
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00539213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery