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Individual
DR. MICHAEL BRYAN REYNOLDS
Active
Individual
DR. MICHAEL BRYAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N8977
TX
207Q00000X
Family Medicine Physician
Primary
OS9017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268005000
—
FL
01
—
81409
BLUE CROSS BLUE SHIELD
FL
01
—
8CU379
BCBSTX
TX
01
—
P00224044
RRM
FL
01
—
P01346411
RAIL ROAD MEDICARE
FL
Enumeration date
04/14/2006
Last updated
03/26/2020
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