Individual
MS. ELLEN PATRICIA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
214 S. MAIN, BOULDER, MT 59632-2410
(406) 225-4201
(307) 864-9470
Mailing address
214 S. MAIN PO BOX 1146, BOULDER, MT 59632-2410
(406) 225-4201
(307) 864-9470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT624
WY
Other
Enumeration date
12/09/2014
Last updated
10/11/2024
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