MR. Joel Wayne Reynolds, PAC
NPI #1134157233 in Deadwood, South Dakota
Provider Information
- NPI Number
- 1134157233
- Entity Type
- Individual
- Name
- MR. Joel Wayne Reynolds, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Jan 23, 2013
Practice Location
- Address
- 61 CHARLES ST
- City
- Deadwood
- State
- South Dakota
- ZIP Code
- 57732-1303
- Phone
- (605) 722-6101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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