Individual
SAMUEL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC08 4640 BMSB RM 335, 1 UNIVERSITY OF NM, ALBUQUERQUE, NM 87131-0001
(505) 272-4814
(505) 272-8084
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD2013-0038
NM
Other
Enumeration date
04/14/2008
Last updated
10/11/2024
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