Individual
DR. THOMAS KEVIN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
157 PIONEER LN, BISHOP, CA 93514-2557
(760) 873-8686
(760) 873-5507
Mailing address
157 PIONEER LN, BISHOP, CA 93514-2557
(760) 873-8686
(760) 873-5507
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A54353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A543530
—
CA
Enumeration date
05/31/2006
Last updated
09/09/2022
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