Individual
SCOTT REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S DIVISION ST, PINEHURST, ID 83850-9767
(208) 682-9200
(208) 682-9300
Mailing address
9 MAIN ST UNIT 894, PINEHURST, ID 83850-1435
(208) 682-2707
(208) 682-3108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8355
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080184721
RAILROAD MEDICARE
ID
01
—
1185830001
MEDICARE DMERC
ID
05
—
806278400
—
ID
Enumeration date
05/16/2006
Last updated
05/12/2021
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