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D. PETER REEDY, M.D., P.A.

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Company Details

Name: D. PETER REEDY, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 05 Sep 2003 (22 years ago)
Financial Date End: 30 Sep 2020
Date dissolved: 08 Dec 2020
Entity Number: 458547
Place of Formation: IDAHO
File Number: 458547
ZIP code: 83706
County: Ada County
Mailing Address: D PETER REEDY MD PA STE 307 STE 307 999 N CURTIS RD BOISE, ID 83706-1333

Agent

Name Role Address
J KEVIN WEST Agent 800 W MAIN ST, SUITE 1300, BOISE, ID 83702

National Provider Identifier

NPI Number:
1124226378

Authorized Person:

Name:
M LESLIE REEDY
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2083677506

Form 5500 Series

Employer Identification Number (EIN):
200205332
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004093544 2020-12-08
Annual Report 0003616945 2019-09-07
Annual Report 0002933558 2018-08-01
Annual Report 0002933555 2017-08-08
Annual Report 0002933554 2016-07-26

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Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State