Individual
DR. F DOUGLAS REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
739 WESTERN AVE, HAMPDEN, ME 04444-1036
(207) 947-2220
(207) 947-4073
Mailing address
739 WESTERN AVE, HAMPDEN, ME 04444-1036
(207) 944-8152
(207) 862-6742
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD 181
ME
213ER0200X
Radiology Podiatrist
POD 181
ME
213ES0000X
Sports Medicine Podiatrist
POD 181
ME
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD 181
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126420099
—
ME
Enumeration date
11/09/2005
Last updated
03/15/2021
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