Individual
MATHEW CLAYTON REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2004008966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0602000
UNITED HEALTHCARE
MO
01
—
18942
COX HEALTH PLANS
MO
01
—
190142
BLUE CROSS/CHOICE
MO
01
—
20814
COX HEALTH PLANS UPI
MO
05
—
502277007
—
MO
01
—
667028
HEALTHLINK
MO
01
—
6749504
CIGNA HEALTHCARE
MO
01
—
Q20276
USPS (W/C)
MO
Enumeration date
05/20/2006
Last updated
01/18/2017
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