NPI 1134157233

Joel Wayne Reynolds, PAC

Practitioner Medical Physician Assistant Deadwood, SD

Practice location

Address: 61 Charles St, Deadwood, SD 57732-1303
Phone: (605) 722-6101
Fax: (605) 719-6133
Mailing address: 353 Fairmont Blvd Atten Mss, Rapid City, SD 57701-7375

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 0548 (SD)

Other Physician Assistant providers in South Dakota →

Registry record

NPI: 1134157233
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2006
Record last updated: 23 Jan 2013

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.