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General NPI Number Information
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NPI Number | 1588626576
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Entity Type | Individual
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Provider Name | MS. CRYSTAL D. REED
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 700 N BURKHARDT RD
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City | EVANSVILLE
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State | IN
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Zip | 47715-2740
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Country | US
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Telephone | 812-474-1110
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Fax | 812-474-1303
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Provider Business Mailing Address
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Address Line | 906 S HEBRON AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-4079
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Country | US
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Telephone | 812-476-1367
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Fax | 812-477-4153
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 01042351
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License Number State | IN
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