John Richard Reed D.O.

NPI 1063493765 - Family Medicine - 207Q00000X

NPI Details
NPI 1063493765
Gender Male
Enumeration Date 11/09/2005
Last Updated 09/25/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1815 E IRELAND RD
SOUTH BEND IN, 46614-2845, US
Phone (574) 647-1750
Fax (574) 291-3351
Business Location
3355 DOUGLAS RD
STE. 300
SOUTH BEND IN, 46635-1781, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 02000650A
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According to our database, Dr. John Richard Reed D.O. NPI is 1063493765, taxonomy code is 207Q00000X and license number is 02000650A, license state is located at Indiana. John Richard Reed D.O. physically located at 1815 E Ireland Rd, South Bend IN, 46614-2845. NPI Number John Richard Reed D.O. has the Individual type.

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1063493765 NPI number is provided on an as is basis without warranty of any kind. 1063493765 is maintained by the National Plan & Provider Enumeration System. The contents of John Richard Reed D.O. are for informational purposes only.