Individual
IRMA LIEZL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404
(937) 641-3000
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
34.013452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297669
—
OH
Enumeration date
03/29/2012
Last updated
10/16/2023
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