Individual
MR. DAVID KEVIN REYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-2020
(574) 223-5847
Mailing address
710 N STATE ROAD 25, ROCHESTER, IN 46975-9785
(574) 223-8080
(574) 223-8078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01042178
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035290A
—
IN
Enumeration date
08/11/2005
Last updated
05/10/2013
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