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Individual

DR. HARRY RICHARD REYNOLDS

Active
Find providers by NPI
Individual

DR. HARRY RICHARD REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
WV14661
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0069872000
WV
01
51D0234293
CLIA
WV
01
55-0672861
TAX ID
WV
01
WV14661
WV LICENSE
WV
Enumeration date
05/01/2006
Last updated
03/07/2023
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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