Individual
GARRY JOSEPH REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6308
(314) 289-6320
Mailing address
3141 ALLEN AVE, SAINT LOUIS, MO 63104-1530
(314) 776-4445
(314) 289-6308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102452
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102452
MO STATE PA REGISTRY
MO
Enumeration date
10/25/2006
Last updated
07/08/2007
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