Healthcare Provider Details

I. General information

NPI: 1437344686
Provider Name (Legal Business Name): DENNIS J. REED, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1759 E VILLA DR STE 313
COTTONWOOD AZ
86326-5997
US

IV. Provider business mailing address

1759 E VILLA DR STE 313
COTTONWOOD AZ
86326-5997
US

V. Phone/Fax

Practice location:
  • Phone: 928-634-2015
  • Fax: 928-634-2050
Mailing address:
  • Phone: 928-634-2015
  • Fax: 928-634-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number33371
License Number StateAZ

VIII. Authorized Official

Name: ALICE CARLSON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 928-634-2015