Individual
ROBERT EDWARD REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13301 N MERIDIAN AVE, STE 501, OKLAHOMA CITY, OK 73120-9368
(405) 752-0871
(405) 755-9510
Mailing address
13301 N MERIDIAN AVE, STE 501, OKLAHOMA CITY, OK 73120-9368
(405) 752-0871
(405) 755-9510
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20272
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091560A
—
OK
Enumeration date
06/15/2005
Last updated
07/08/2007
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