MEDICARE: JOANNE E REID MD INC

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
1	208000000X	Pediatrics Physician	G86333	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366687964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOANNE E REID MD INC

Provider Business Mailing Address
First Line	:	263 N VILLA AVE
Second Line	:
City	:	WILLOWS
State	:	CA
Zip	:	95988-2607
Country	:	US
Telephone Number	:	530-934-8700
Fax Number	:	530-934-3011

Provider Business Practice Location Address
First Line	:	263 N VILLA AVE
Second Line	:
City	:	WILLOWS
State	:	CA
Zip	:	95988-2607
Country	:	US
Telephone Number	:	530-934-8700
Fax Number	:	530-934-3011

Authorized Official
Title or Position	:	CEO
Name	:	JOANNE E REID
Credential	:	MD
Telephone Number	:	530-934-8700

Provider Enumeration Date	:	12/10/2008
Last Update Date	:	04/17/2009

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Directions to “JOANNE E REID MD INC ” Practice Location

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