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Individual

DR. OCTAVIO DE LOS REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
40 LAMBERT ST, SUITE 522, STAUNTON, VA 24401-2446
(540) 885-3525
(540) 886-5935
Mailing address
34 BEDFORD LN, FISHERSVILLE, VA 22939-2128
(540) 949-8121

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102-200836
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005640172
VA
Enumeration date
01/26/2006
Last updated
08/11/2011
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