| Doctor Name: | MR. TONY L. REYNOLDS |
| NPI Number: | 1124387568 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | 1116552 |
| Business Practice Address: | 4810 Bell Hill Rd Bessemer, AL - 350226948 |
| Business Phone Number: | 2054773737 |
| Business Fax Number: | |
| Mailing Address: | 700 S J St, LAKEVIEW |
| State: | OR |
| Postal Code: | 976301623 |
| Phone Number: | 5419473366 |
| Fax Number: | 5419474404 |
| NPI Enumeration Date: | 05/04/2012 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1116552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |