Individual
DR. DOUGLAS WILLIAM REAVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15717 BERNARDO HEIGHTS PKWY, SAN DIEGO, CA 92128-3155
(858) 451-1908
(858) 451-0423
Mailing address
15717 BERNARDO HEIGHTS PKWY, SAN DIEGO, CA 92128-3155
(858) 451-1908
(858) 451-0423
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G47917
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
G47917
CA
Other
Enumeration date
02/26/2007
Last updated
09/11/2025
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