Individual
DANIEL RICHARD REIDL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3051 WATSON BLVD, SUITE 525, WARNER ROBINS, GA 31093-8536
(478) 953-4563
(478) 953-4683
Mailing address
120-B OSIGIAN BLVD, SUITE 100, WARNER ROBINS, GA 31088-8939
(478) 953-5358
(478) 953-5340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004602
GA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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