Organization
GENE W REID MD PA
Active
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
Update your record
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