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NPI Code Detail

MEDICARE: DR. HERBERT A MCREYNOLDS M.D.

MEDICARE: DR. HERBERT A MCREYNOLDS 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
1207P00000XEmergency Medicine Physician13330AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710987466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HERBERT A MCREYNOLDS M.D.
Provider Business Mailing Address
First Line : 2850 N COUNTRY CLUB RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1910
Country : US
Telephone Number : 520-322-6274
Fax Number : 520-509-4496
Provider Business Practice Location Address
First Line : 1601 W SAINT MARYS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2623
Country : US
Telephone Number : 520-872-6264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 02/23/2021

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