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Organization

GENE W REID MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GENE W REID MD (OWNER)
(501) 227-6916
Entity
Organization

Contact information

Practice address
10201 W MARKHAM ST STE 212, LITTLE ROCK, AR 72205-2181
(501) 227-6916
(501) 227-8254
Mailing address
10201 W MARKHAM ST STE 212, LITTLE ROCK, AR 72205-2181
(501) 227-6916
(501) 227-8254

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C5579
AR
2084P0805X
Geriatric Psychiatry Physician
Primary
C5579
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111384001
AR
Enumeration date
06/04/2008
Last updated
06/04/2008
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