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General NPI Number Information
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NPI Number | 1639376932
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Entity Type | Organization
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Legal Business Name | JOHN L. REED M.D. SURGICAL PRACTICE, P.C.
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 8055 O ST SUITE 300
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City | LINCOLN
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State | NE
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Zip | 68510-2564
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Country | US
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Telephone | 402-421-0896
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Fax | 402-421-0945
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Provider Business Mailing Address
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Address Line | 8055 O STREET SUITE 300
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City | LINCOLN
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State | NE
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Zip | 68510-2580
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Country | US
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Telephone | 402-421-0896
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Fax | 402-421-0945
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Authorized Official
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Title or Position | PRESIDENT & OWNER
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Name | JOHN L REED
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Credential | MD
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Telephone | 402-483-1991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10719
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License Number State | NE
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