Michael D Reynolds in Bridgeton - Surgery
Michael D Reynolds - NPI 1689686065
Michael D Reynolds is a Surgery in Bridgeton, Missouri. Michael D Reynolds practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michael D Reynolds is 1689686065. The last update date is 2020-10-26.
Michael D Reynolds's current location address is 12266 Depaul Dr., Bridgeton, Missouri. You can contact this provider via phone number 3147700991 and fax number 3147700692. The mailing address for Michael D Reynolds is 12266 Depaul Dr., Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael D Reynolds |
|---|---|
| Address | 12266 Depaul Dr., Bridgeton, Missouri |
| Phone Number | 3147700991 |
| Fax Number | 3147700692 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689686065 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2020-10-26 |
Provider Mailing Address Detail
| Address | 12266 Depaul Dr. |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442516 |
| Phone Number | 3147700991 |
| Fax Number | 3147700692 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | R1J28 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770001238 | MO | RAILROAD MEDICARE | |
| 202545612 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael D Reynolds?
The Michael D Reynolds has been issued the NPI (National Provider Identifier) 1689686065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Michael D Reynolds's physical address?
The Michael D Reynolds is physically located at 12266 Depaul Dr., in the city of Bridgeton, MO, with the postal code 630442516.
What is Michael D Reynolds's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael D Reynolds is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689686065 to Michael D Reynolds?
The Michael D Reynolds received its 1689686065 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date were the Michael D Reynolds's details last updated?
The information pertaining to the Michael D Reynolds, including its address, specialty, and other details, was most recently updated on 2020-10-26.
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