Healthcare Provider Details

I. General information

NPI: 1902343965
Provider Name (Legal Business Name): AMY REID MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1636 HIGDON FERRY RD
HOT SPRINGS AR
71913-6912
US

IV. Provider business mailing address

1635 HIGDON FERRY RD SUITE C PMB 246
HOT SPRINGS AR
71913-6913
US

V. Phone/Fax

Practice location:
  • Phone: 501-651-2000
  • Fax:
Mailing address:
  • Phone: 208-740-4718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberE10170
License Number StateAR

VIII. Authorized Official

Name: BARBARA TEMPLE
Title or Position: BILLER
Credential:
Phone: 504-913-6395