NPI 1104699354
Dalton Randy Reynolds
Practice location
- Address
- 1900 Westridge Rd, Carlsbad, NM 88220-3550
- Phone
- (575) 725-5552
- Fax
- (575) 725-5552
- Mailing address
- PO Box 3141, Carlsbad, NM 88221-3141
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1104699354
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Oct 2023
- Record last updated
- 31 Oct 2023
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.