Individual
DR. ROBERT DALE REYNOLDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 765-5606
Mailing address
601 S PIONEER WAY STE F, PMB 372, MOSES LAKE, WA 98837
(661) 604-5180
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
7122459-3102
UT
367500000X
Certified Registered Nurse Anesthetist
305696
AZ
367500000X
Certified Registered Nurse Anesthetist
AP143400
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61565233
WA
367500000X
Certified Registered Nurse Anesthetist
NA95001216
CA
Other
Enumeration date
10/07/2019
Last updated
11/10/2025
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