Jack R Reid Jr MD LLC

NPI #1356538433 in Walker, Louisiana

Provider Information

NPI Number: 1356538433
Entity Type: Organization
Organization Name: Jack R Reid Jr MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 2, 2007
Last Updated: Apr 30, 2020

Practice Location

Address: 5000 ODONAVAN BLVD STE 307
City: Walker
State: Louisiana
ZIP Code: 70785-6355
Phone: (225) 791-3117

Authorized Official

Name: JACK R REID, MD
Title: OWNER
Phone: (225) 791-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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