Individual
DANIEL C REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 S EAGLE RD, EAGLE, ID 83616-6067
(208) 939-8200
(208) 939-8222
Mailing address
435 S EAGLE RD, EAGLE, ID 83616-6067
(208) 939-8200
(208) 939-8222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8871
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00213824
RR MEDICARE
—
Enumeration date
06/16/2006
Last updated
01/22/2008
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