Individual
DR. MARC DORIAN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 NORTHVIEW DR, FALLON, NV 89406-8453
(775) 423-0689
Mailing address
610 NORTHVIEW DR, FALLON, NV 89406-8453
(775) 423-0689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G30096
CA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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