Organization
MICHAEL REID CRNA
Active
Organization
MICHAEL REID CRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T REID (OWNER)
(909) 731-5794
Entity
Organization
Contact information
Practice address
900 E WASHINGTON ST STE 155, COLTON, CA 92324-4196
(909) 946-5752
Mailing address
PO BOX 1712, LOMA LINDA, CA 92354-0150
(909) 731-5794
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA# 2132
CA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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