Individual
DR. ERIC REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 SW PARK SQUARE DR STE 200, ANKENY, IA 50023-2687
(515) 440-2676
(515) 440-2677
Mailing address
12499 UNIVERSITY AVE STE 210, CLIVE, IA 50325-8288
(515) 440-2676
(515) 440-2677
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD-46549
IA
208000000X
Pediatrics Physician
MD-46549
IA
2080S0010X
Pediatric Sports Medicine Physician
MD-46549
IA
Other
Enumeration date
04/14/2014
Last updated
02/14/2023
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