Jack Reid
Jack Reid is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
Phoenix, AZNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 101 The City Dr S, Orange, CA 92868-3201 — (951) 662-8028
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 71487 (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639736093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2019 |
| Last updated in NPPES | March 8, 2024 |
| Certification date | March 8, 2024 |
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