Jared Wayne Reaves MD

NPI 1679754188 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1679754188
Gender Male
Enumeration Date 11/27/2007
Last Updated 03/18/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
122 SLADE AVE
PIKESVILLE MD, 21208-4915, US
Phone (410) 383-4263
Fax
Business Location
122 SLADE AVE
PIKESVILLE MD, 21208-4915, US
Phone (410) 383-4263
Fax
Toxanomy
Taxonomy Code 208100000X
License State Virginia
License Number 0101249265
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According to our database, Dr. Jared Wayne Reaves MD NPI is 1679754188, taxonomy code is 208100000X and license number is 0101249265, license state is located at Virginia. Jared Wayne Reaves MD physically located at 122 Slade Ave, Pikesville MD, 21208-4915. NPI Number Jared Wayne Reaves MD has the Individual type.

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1679754188 NPI number is provided on an as is basis without warranty of any kind. 1679754188 is maintained by the National Plan & Provider Enumeration System. The contents of Jared Wayne Reaves MD are for informational purposes only.