Individual
MR. ROBERT RAY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 N 8TH ST, BISMARCK, ND 58501
(701) 222-6100
(701) 222-6150
Mailing address
500 N 8TH ST, BISMARCK, ND 58501-4445
(701) 222-6100
(701) 222-6150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034767
TX
2085R0001X
Radiation Oncology Physician
Primary
14404
ND
2085R0001X
Radiation Oncology Physician
2014034663
MO
2085R0001X
Radiation Oncology Physician
MMD.32576LL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469785
—
ND
Enumeration date
05/08/2009
Last updated
04/04/2024
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