Individual
DR. MATTHEW RYAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
4910 W PINE BLVD, APT 408, SAINT LOUIS, MO 63108-1976
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036143220
IL
207T00000X
Neurological Surgery Physician
2008014674
MO
207T00000X
Neurological Surgery Physician
41207
OK
Other
Enumeration date
07/06/2008
Last updated
11/13/2023
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