NPI 1336300466

Reynolds Plastic Surgery LLC

Organisation Specialist Springfield, MO

Practice location

Address: 1531 E Bradford Pkwy Suite 215, Springfield, MO 65804-6566
Phone: (417) 823-9777
Fax: (417) 823-9731

Authorised official

Name: William R Reynolds
Title: Physician
Phone: (417) 823-9777

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 107745 (MO)

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Registry record

NPI: 1336300466
Entity type: Organization
NPI issued: 20 Jun 2008
Record last updated: 22 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.