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Individual

DR. FRED MICHAEL REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
311 CAMILLE ST, ALEXANDRIA, LA 71301-2702
(318) 448-8548
(318) 448-8548
Mailing address
311 CAMILLE ST, ALEXANDRIA, LA 71301-2702
(318) 448-8548
(318) 448-8548

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012225
LA
207P00000X
Emergency Medicine Physician
07848
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1344257
LA
Enumeration date
07/11/2006
Last updated
01/21/2015
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