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Individual

WILLIAM CLARK REED JR.

Active
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Individual

WILLIAM CLARK REED JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101234551
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10070317
—
VA
05
—
1104801935
—
VA
01
—
140837
ANTHEM BCBS
VA
01
—
302011
ANTHEM BCBS
VA
01
—
8348712
CINGA
VA
01
—
P00130348
MEDICARE RR
VA
Enumeration date
12/14/2005
Last updated
09/23/2009
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