Jason Ty Reed D.O.

NPI 1699941484 - Anesthesiology - 207L00000X

NPI Details
NPI 1699941484
Gender Male
Enumeration Date 05/01/2008
Last Updated 05/05/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
2101 N WATERMAN AVE
SAN BERNARDINO CA, 92404-4836, US
Phone (909) 883-8711
Fax
Business Location
13285 RIDGE ROUTE RD
RIVERSIDE CA, 92503-8435, US
Phone (626) 660-6370
Fax
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number 20A9385
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According to our database, Dr. Jason Ty Reed D.O. NPI is 1699941484, taxonomy code is 207L00000X and license number is 20A9385, license state is located at California. Jason Ty Reed D.O. physically located at 2101 N Waterman Ave, San Bernardino CA, 92404-4836. NPI Number Jason Ty Reed D.O. has the Individual type.

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1699941484 NPI number is provided on an as is basis without warranty of any kind. 1699941484 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Ty Reed D.O. are for informational purposes only.