Individual
DOROTHY L REYNOLDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 W MAIN ST, ZEARING, IA 50278
(641) 487-7779
(641) 487-7749
Mailing address
101 W MAIN ST, ZEARING, IA 50278
(641) 487-7779
(641) 487-7749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25792
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634600
—
IA
05
—
2039776
—
IA
05
—
3039776
—
IA
01
—
37094
BCBS
IA
01
—
37095
BCBS
IA
01
—
37096
BCBS
IA
05
—
4039776
—
IA
Enumeration date
02/08/2006
Last updated
07/08/2007
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