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Individual

JOHN F REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10336RX
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1425222
LA
Enumeration date
09/13/2006
Last updated
06/30/2011
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