Individual
HOUSTON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 514-2529
Mailing address
164 S 5TH ST, MONTPELIER, ID 83254-1557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MRM-1937
ID
Other
Enumeration date
05/15/2020
Last updated
01/23/2025
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