Individual
DR. BRUCE WALTER REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 MARCELLA RD, SUITE B, HAMPTON, VA 23666-2578
(757) 864-0840
(757) 864-0848
Mailing address
304 MARCELLA RD, SUITE B, HAMPTON, VA 23666-2578
(757) 864-0840
(757) 864-0848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101036538
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780677930
—
VA
Enumeration date
08/23/2005
Last updated
08/24/2013
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