Individual
DANIEL JOHN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(850) 316-1640
Mailing address
29150 LAKE FOREST BLVD APT 1911, DAPHNE, AL 36526-7597
(850) 316-1640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1869
AL
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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