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Organization

WILLIAM F. REYNOLDS, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM F. REYNOLDS M.D. (PRESIDENT/PHYSICIAN)
(818) 790-1278
Entity
Organization

Contact information

Practice address
1808 VERDUGO BLVD., SUITE 318, GLENDALE, CA 91208-1464
(818) 790-1278
(818) 952-0134
Mailing address
1808 VERDUGO BLVD., SUITE 318, GLENDALE, CA 91208-1464
(818) 790-1278
(818) 952-0134

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A25324
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A253240
CA
Enumeration date
11/01/2010
Last updated
11/16/2010
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