Individual
TEODORO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-5848
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.088105
OH
207L00000X
Anesthesiology Physician
Primary
MD037907
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541693
ANTHEM
OH
05
—
2703391
—
OH
Enumeration date
10/17/2006
Last updated
06/25/2025
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