Individual
JEFFREY C REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 BROADWAY N, FARGO, ND 58122-0001
(701) 234-4811
(701) 234-6979
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-2000
(701) 234-2606
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
31514
MN
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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