Peter Mclean Reynolds in Campbell - Sports Medicine

Peter Mclean Reynolds - NPI 1457364663

Peter Mclean Reynolds is a Sports Medicine in Campbell, California. Peter Mclean Reynolds practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Peter Mclean Reynolds is 1457364663. The last update date is 2014-01-15.

Peter Mclean Reynolds's current location address is 3803 S Bascom Ave, Campbell, California. You can contact this provider via phone number 8314754024 and fax number 8314754344. The mailing address for Peter Mclean Reynolds is 3803 S Bascom Ave, Campbell, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Mclean Reynolds
Address 3803 S Bascom Ave, Campbell, California
Phone Number 8314754024
Fax Number 8314754344
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1457364663
Provider Enumeration Date 2006-08-15
Last Updated Date 2014-01-15

Provider Mailing Address Detail

Address 3803 S Bascom Ave
City Campbell
State California (CA)
Post Code 950087317
Phone Number 8314754024
Fax Number 8314754344

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No C384340
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C384340 CA MEDICAL LIC

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FAQs about Peter Mclean Reynolds

What is the unique 10-digit identifier code issued to Peter Mclean Reynolds by the Centers for Medicare & Medicaid Services?

The Peter Mclean Reynolds has been assigned the NPI (National Provider Identifier) 1457364663 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Peter Mclean Reynolds?

The Peter Mclean Reynolds is situated at 3803 S Bascom Ave, in the city of Campbell, state of CA, with the zip code 950087317.

What is Peter Mclean Reynolds's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Peter Mclean Reynolds is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.

On what date did Peter Mclean Reynolds receive its 1457364663 assignment from the Centers for Medicare & Medicaid Services?

The Peter Mclean Reynolds was assigned its 1457364663 on 2006-08-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Peter Mclean Reynolds most recently updated or revised?

The details related to Peter Mclean Reynolds, including its address, specialty, and other relevant information, were last updated or revised on 2014-01-15.

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