Organization
HERMAN L. REID III MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA E PENN-REID BA (OFFICE MANAGER)
(812) 306-6631
Entity
Organization
Contact information
Practice address
7839 S PROFESSIONAL DR, FORT BRANCH, IN 47648-8405
(812) 306-6631
(812) 867-6951
Mailing address
18920 ROSCOMMON RD, EVANSVILLE, IN 47725-6417
(812) 306-6631
(812) 867-6951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01056394A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200389450
—
IN
05
—
201228280
—
IN
05
—
XXXXX3397
—
IL
Enumeration date
10/21/2011
Last updated
03/02/2015
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