Individual
DR. JARED WAYNE REAVES
Active
Individual
DR. JARED WAYNE REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101249265
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0074865
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-017
TRICARE/CHAMPUS
VA
01
—
10078676
OPTIMA HEALTH
VA
01
—
1679754188
FIRST HEALTH NETWORK/COVENTRY HEALTH/SOUTHERN HEALTH
VA
05
—
1679754188
—
VA
01
—
438177
ANTHEM BC/BS
VA
05
—
5917488
—
NC
01
—
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
11/27/2007
Last updated
10/24/2023
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