Individual
BENJAMIN NATHAN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 257-8221
Mailing address
WEST PAVILION, ROOM G120, 3655 VISTA AVENUE, ST. LOUIS, MO 63110
(314) 257-8222
(314) 268-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021013607
MO
Other
Enumeration date
03/20/2018
Last updated
05/01/2024
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