Individual
DR. JESSICA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-1950
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14219730-1238
UT
208600000X
Surgery Physician
85849
GA
208600000X
Surgery Physician
A119307
CA
Other
Enumeration date
12/29/2011
Last updated
06/27/2025
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