Tony Reid in Clovis - Physician Assistant

Tony Reid - NPI 1518004308

Tony Reid is a Physician Assistant in Clovis, California. Tony Reid practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tony Reid is 1518004308. The last update date is 2007-07-09.

Tony Reid's current location address is 255 W Bullard Ave Ste 109, Clovis, California. You can contact this provider via phone number 5592977563 and fax number 5592975374. The mailing address for Tony Reid is 255 W Bullard Ave Ste 109, Clovis, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tony Reid
Address 255 W Bullard Ave Ste 109, Clovis, California
Phone Number 5592977563
Fax Number 5592975374
Sole Proprietor Y
Credentials P.A.-C

NPI Number Detail

NPI Number 1518004308
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 255 W Bullard Ave Ste 109
City Clovis
State California (CA)
Post Code 936120861
Phone Number 5592977563
Fax Number 5592975374

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1034105
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1034105 CA LIC#

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FAQs about Tony Reid

What is the unique 10-digit identification code assigned to Tony Reid by the Centers for Medicare & Medicaid Services?

The Tony Reid has been issued the NPI (National Provider Identifier) 1518004308, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Tony Reid?

The Tony Reid is physically situated at 255 W Bullard Ave Ste 109, in the city of Clovis, state of CA, with the postal code 936120861.

What is Tony Reid's area of expertise and its corresponding taxonomy classification?

The Tony Reid's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1518004308 assigned to Tony Reid?

The Tony Reid was issued its 1518004308 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Tony Reid, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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