Doctor Name: | DR. STEVEN WAYNE REID |
NPI Number: | 1225033798 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | R2953 |
Business Practice Address: | 472 N 2nd St Ashdown, AR - 718222755 |
Business Phone Number: | 8708989111 |
Business Fax Number: | 8708989215 |
Mailing Address: | Po Box 295, LOCKESBURG |
State: | AR |
Postal Code: | 718460295 |
Phone Number: | 8702895865 |
Fax Number: | 8702896993 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 02/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R2953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |