Ellen M Reynolds in Boise - Pediatric Surgery

Ellen M Reynolds - NPI 1679622542

Ellen M Reynolds is a Pediatric Surgery in Boise, Idaho. Ellen M Reynolds practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Ellen M Reynolds is 1679622542. The last update date is 2012-09-04.

Ellen M Reynolds's current location address is 100 E Idaho St, Boise, Idaho. You can contact this provider via phone number 2083817370 and fax number 2083817377. The mailing address for Ellen M Reynolds is 100 E Idaho St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen M Reynolds
Address 100 E Idaho St, Boise, Idaho
Phone Number 2083817370
Fax Number 2083817377
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1679622542
Provider Enumeration Date 2007-01-09
Last Updated Date 2012-09-04

Provider Mailing Address Detail

Address 100 E Idaho St
City Boise
State Idaho (ID)
Post Code 837126267
Phone Number 2083817370
Fax Number 2083817377

Provider's Primary Taxonomy Detail

Speciality Pediatric Surgery
Taxonomy 2086S0120X
Licence No M-7833
Definition:
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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FAQs about Ellen M Reynolds

What is the unique identifier code issued to Ellen M Reynolds by the Centers for Medicare & Medicaid Services (CMS)?

The Ellen M Reynolds has been assigned the NPI (National Provider Identifier) 1679622542. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Ellen M Reynolds is located?

The Ellen M Reynolds is situated at the following address: 100 E Idaho St, Boise, ID, 837126267.

What is the Ellen M Reynolds's specialty and taxonomy code?

The Ellen M Reynolds's specialty is Pediatric Surgery, and the corresponding taxonomy code is 2086S0120X.

On what date did Ellen M Reynolds receive its 1679622542 assignment from the Centers for Medicare & Medicaid Services?

The Ellen M Reynolds was assigned its 1679622542 on 2007-01-09, 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 Ellen M Reynolds most recently updated or revised?

The details related to Ellen M Reynolds, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-04.

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