Individual
MATHEW CLAYTON REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1229 E SEMINOLE ST, SUITE 320, SPRINGFIELD, MO 65804-2227
(417) 820-2064
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(855) 420-7900
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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