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NPI Code Detail

MEDICARE: JON ALLISON REED M.D.

MEDICARE:   JON ALLISON REED  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZD0900XDermatopathology (Pathology) PhysicianK7381TX
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianK7381TX

General Provider Information

NPI Number : 1043215973
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON ALLISON REED M.D.
Provider Business Mailing Address
First Line : 1124 COLUMBIA STREET
Second Line : SUITE 200
City : SEATTLE
State : WA
Zip : 98104-2048
Country : US
Telephone Number : 206-576-6050
Fax Number : 206-215-5935
Provider Business Practice Location Address
First Line : 1145 BROADWAY
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4201
Country : US
Telephone Number : 866-236-8296
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/13/2012

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