Healthcare Provider Details

I. General information

NPI: 1801860531
Provider Name (Legal Business Name): JAMES S REED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 S CEDAR ST STE. #330
TACOMA WA
98405-2318
US

IV. Provider business mailing address

2202 S CEDAR ST STE. #310
TACOMA WA
98405-2318
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-5127
  • Fax: 253-404-0506
Mailing address:
  • Phone: 253-272-8148
  • Fax: 253-404-0506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD00024804
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: