Individual
MR. JEFFERY HODGE REID SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 629-6259
(620) 629-6655
Mailing address
PO BOX 120, ALMA, CO 80420-0120
(719) 836-0219
(719) 836-0219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1433359042
KS
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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