Individual
DR. DAVID DEWITT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1860 FAIR AVE., SUITE A, HONESDALE, PA 18431-1032
(570) 253-3391
(570) 253-1811
Mailing address
1860 FAIR AVE., SUITE A, HONESDALE, PA 18431-1032
(570) 253-3391
(570) 253-1811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD043252L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012880140006
—
PA
01
—
0562453000
AMERIHEALTH
PA
01
—
110163810
MEDICARE RAILROAD
PA
01
—
2400390
GHI
PA
01
—
804628
FIRST PRIORITY
PA
01
—
9036990
PHCS
PA
01
—
RE725073
BLUE SHIELD
PA
Enumeration date
08/15/2006
Last updated
02/20/2013
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