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Contact Information

ALEXANDER L REYNOLDS, DO
3399 E LOUISE DR STE 100
MERIDIAN, ID83642-5212
 Phone: 208-887-6813
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for ALEXANDER L REYNOLDS · (Male)

NPI Number 1124317417
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/07/2011
Last updated 04/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # O-1760
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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