Individual
STEPHANIE L REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6845 E US HIGHWAY 36 STE 600, AVON, IN 46123-8132
(317) 272-4920
(317) 272-4906
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082298A
IN
Other
Enumeration date
06/27/2016
Last updated
03/24/2020
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