MEDICARE: DAVID ASHTON REED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	300652	LA

General Provider Information

NPI Number	:	1518214923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ASHTON REED M.D.

Provider Business Mailing Address
First Line	:	600 E GLORIA SWITCH RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-2512
Country	:	US
Telephone Number	:	337-235-6211
Fax Number	:	337-235-0852

Provider Business Practice Location Address
First Line	:	600 E GLORIA SWITCH RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-2512
Country	:	US
Telephone Number	:	337-235-6211
Fax Number	:	337-235-0852

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2012
Last Update Date	:	12/03/2015

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