Organization
MARL E REYNOLDS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E REYNOLDS M.D. (OWNER)
(937) 848-9858
Entity
Organization
Contact information
Practice address
4301 STATE ROUTE 725, STE B, BELLBROOK, OH 45305-1552
(937) 848-9858
(937) 848-2080
Mailing address
4301 STATE ROUTE 725, STE B, BELLBROOK, OH 45305-1552
(937) 848-9858
(937) 848-2080
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614864600
FEDERAL WORKER'S COMP
OH
Enumeration date
11/19/2009
Last updated
08/11/2011
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