Individual
DR. GORMAN JOEL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MON HEALTH MEDICAL PARK DR STE 1101, MORGANTOWN, WV 26505-1143
(304) 598-2700
(304) 598-2725
Mailing address
1000 MON HEALTH MEDICAL PARK DR, STE 1101, MORGANTOWN, WV 26505-1143
(304) 598-2700
(304) 598-2725
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
22684
WV
207RG0100X
Gastroenterology Physician
35.135080
OH
207RG0100X
Gastroenterology Physician
38707
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065126
—
OH
05
—
3810008998
—
WV
Enumeration date
02/24/2007
Last updated
04/28/2022
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