Individual
ADAM C REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 N CURTIS RD STE 205, BOISE, ID 83706-1316
(208) 373-1200
Mailing address
999 N CURTIS RD STE 205, BOISE, ID 83706-1316
(208) 373-1200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M9578
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002774500
—
ID
Enumeration date
03/18/2006
Last updated
12/01/2011
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