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General NPI Number Information
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NPI Number | 1104154228
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Entity Type | Organization
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Legal Business Name | MARK O. REED, MD, PC
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 600 S TONOPAH DR STE 240
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City | LAS VEGAS
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State | NV
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Zip | 89106-4042
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Country | US
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Telephone | 702-383-3170
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Fax | 702-382-3736
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Provider Business Mailing Address
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Address Line | 600 S TONOPAH DR STE 240
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City | LAS VEGAS
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State | NV
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Zip | 89106-4042
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Country | US
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Telephone | 702-383-3170
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Fax | 702-382-3736
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARK OLE REED
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Credential | MD
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Telephone | 702-383-3170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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