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Individual

DR. JASON TY REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 883-8711
Mailing address
13285 RIDGE ROUTE RD, RIVERSIDE, CA 92503-8435
(626) 660-6370

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A9385
CA

Other

Enumeration date
05/01/2008
Last updated
12/01/2021
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