Healthcare Provider Details

I. General information

NPI: 1831039965
Provider Name (Legal Business Name): GARRETT RILEY REID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 STANTON L YOUNG BLVD STE AAT 3400
OKLAHOMA CITY OK
73104-5018
US

IV. Provider business mailing address

4308 NE 123RD ST
EDMOND OK
73013-4920
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5964
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number50242
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: