Individual
BARRON JUSTIN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 739-7250
(307) 739-7249
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7250
(307) 739-7249
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
48907
AZ
207P00000X
Emergency Medicine Physician
Primary
9707A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156963500
—
WY
Enumeration date
05/03/2011
Last updated
02/18/2021
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