Individual
DR. REGINALD DONTE TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-5050
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-5050
(614) 722-5058
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35121987
OH
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
35121987
OH
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
35121987
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125385
—
OH
Enumeration date
04/29/2009
Last updated
02/21/2022
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