Douglas William Reavie in San Diego - Plastic And Reconstructive Surgery

Douglas William Reavie - NPI 1720114291

Douglas William Reavie is a Plastic And Reconstructive Surgery in San Diego, California. Douglas William Reavie practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Douglas William Reavie is 1720114291. The last update date is 2007-07-08.

Douglas William Reavie's current location address is 15717 Bernardo Heights Pkwy, San Diego, California. You can contact this provider via phone number 8584511908 and fax number 8584510423. The mailing address for Douglas William Reavie is 15717 Bernardo Heights Pkwy, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas William Reavie
Address 15717 Bernardo Heights Pkwy, San Diego, California
Phone Number 8584511908
Fax Number 8584510423
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1720114291
Provider Enumeration Date 2007-02-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15717 Bernardo Heights Pkwy
City San Diego
State California (CA)
Post Code 921283155
Phone Number 8584511908
Fax Number 8584510423

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No G47917
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

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FAQs about Douglas William Reavie

What is the unique 10-digit identifier code issued to Douglas William Reavie by the Centers for Medicare & Medicaid Services?

The Douglas William Reavie has been assigned the NPI (National Provider Identifier) 1720114291 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Douglas William Reavie's physical address?

The Douglas William Reavie is physically located at 15717 Bernardo Heights Pkwy, in the city of San Diego, CA, with the postal code 921283155.

What is the Douglas William Reavie's specialty and taxonomy code?

The Douglas William Reavie's specialty is Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.

When did Douglas William Reavie receive its 1720114291 assignment?

The Douglas William Reavie was assigned its 1720114291 on 2007-02-26, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Douglas William Reavie, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Douglas William Reavie, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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