Individual
BARRY REED COVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 FULTON ST, PORT CLINTON, OH 43452
(419) 732-6520
(419) 734-5414
Mailing address
621 FULTON ST, PORT CLINTON, OH 43452
(419) 732-6520
(419) 734-5414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-03-2526
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201267
—
OH
01
—
211837
ANTHEM BCBS OF OHIO
OH
Enumeration date
10/03/2006
Last updated
07/08/2007
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