Individual
DR. JUSTIN A REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15396 N 83RD AVE STE E, PEORIA, AZ 85381-5627
(480) 470-4000
(480) 686-8875
Mailing address
15396 N 83RD AVE STE E, PEORIA, AZ 85381-5627
(480) 470-4000
(480) 686-8875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42634
AZ
207R00000X
Internal Medicine Physician
A100903
CA
207RG0100X
Gastroenterology Physician
42634
AZ
207RT0003X
Transplant Hepatology Physician
Primary
42634
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
928237
—
AZ
Enumeration date
11/08/2007
Last updated
12/02/2025
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