Organization
NICOLE REID MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L. REID M.D. (OWNER)
(417) 336-3646
Entity
Organization
Contact information
Practice address
1015 STATE HIGHWAY 248, SUITE B, BRANSON, MO 65616-8001
(417) 336-3646
(417) 336-3644
Mailing address
1440 STATE HIGHWAY 248 STE Q-434, BRANSON, MO 65616-9655
(417) 336-3646
(417) 336-3644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007011080
MO
Other
Enumeration date
06/10/2010
Last updated
09/20/2011
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