Individual
DAVID TRAVIS REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
255 N. HOWARD, FRESNO, CA 93701-2214
(559) 459-7300
(559) 459-3750
Mailing address
4910 E CLINTON WAY, SUITE 101, FRESNO, CA 93727-1560
(559) 453-5200
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16367
CA
363AM0700X
Medical Physician Assistant
PA 16367
CA
363AS0400X
Surgical Physician Assistant
Primary
PA16367
CA
Other
Enumeration date
12/13/2006
Last updated
02/19/2010
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