Individual
SHAUN M REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 COLISEUM DR, NORFOLK, VA 23666
(502) 852-5689
Mailing address
6141 SYLVAN ST, NORFOLK, VA 23508-1033
(502) 852-5689
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101261779
VA
207P00000X
Emergency Medicine Physician
01076107A
IN
207P00000X
Emergency Medicine Physician
47305
KY
Other
Enumeration date
06/16/2011
Last updated
03/12/2021
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