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Individual

DR. DAVID M. REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
608 CITY ROUTE 66, ST. ROBERT, MO 65584
(573) 336-5100
(573) 336-3118
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006034700
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528279486
NPI #
MO
05
1528279486
MO
Enumeration date
05/24/2007
Last updated
10/15/2012
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