Individual
JAY BRIAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 5TH AVE, SUITE 500, SPOKANE, WA 99204-2756
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE, SUITE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00018611
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010146345
REGENCE BLUE SHIELD OF ID
ID
05
—
0082229
—
MT
05
—
1073451
—
WA
01
—
50594
DEPT OF LABOR & INDUSTRIE
WA
01
—
5870RE
ASURIS NW HEALTH
WA
01
—
8938899
CRIME VICTIMS
WA
01
—
930
GROUP HEALTH NW
WA
01
—
G8801891
MEDICARE ID
—
01
—
KV510
BLUE CROSS OF IDAHO
ID
01
—
P00092594
RR MEDICARE
WA
Enumeration date
03/01/2006
Last updated
03/11/2008
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