Individual
MR. JACKIE DAVID REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1808 SHERMAN DRIVE, GIBSON GENERAL HOSPITAL, PRINCETON, IN 47670
(812) 385-9208
(812) 385-9410
Mailing address
1808 SHERMAN DRIVE, GIBSON GENERAL HOSPITAL, PRINCETON, IN 47670
(812) 385-9208
(812) 385-9410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000268A
IN
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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