Individual
DR. TARA P REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3201 SPRINGHILL DR STE 300, NORTH LITTLE ROCK, AR 72117-2909
(501) 534-4300
Mailing address
3201 SPRINGHILL DR STE 300, NORTH LITTLE ROCK, AR 72117-2909
(501) 534-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4035
AR
207Q00000X
Family Medicine Physician
ME89097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154104001
—
AR
05
—
1669662615
—
AR
Enumeration date
01/23/2006
Last updated
06/01/2024
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