Individual
JOHN M. REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 W ST MARYS RD., TUCSON, AZ 85745-2623
(520) 872-6264
Mailing address
630 N ALVERNON WAY, SUITE 220, TUCSON, AZ 85711
(520) 647-8850
(520) 647-8851
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
27576
AZ
207P00000X
Emergency Medicine Physician
Primary
27576
AZ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01041815
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181689
ANTHEM
IN
05
—
104340092
—
MI
05
—
200005370A
—
IN
01
—
930101006
RAIL ROAD MEDICARE
IN
Enumeration date
04/08/2006
Last updated
04/20/2021
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