Individual
DOUGLAS E REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Mailing address
3803 COFFEAT DR, BELLBROOK, OH 45305-8968
(937) 310-8051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35084485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2498631
—
OH
Enumeration date
01/04/2006
Last updated
01/13/2017
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