Individual
DR. NICHOLAS THOMAS REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-3707
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-3707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0057553
CO
207Q00000X
Family Medicine Physician
4492
OK
207Q00000X
Family Medicine Physician
DR.0057553
CO
Other
Enumeration date
04/04/2007
Last updated
02/16/2017
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