Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 5101017075 | MI |
N | 208600000X | Surgeon | 5101017075 | MI |
Y | 208200000X | Surgeon | OS014940 | PA |
Y | 208600000X | Surgeon | OS014940 | PA |
NPI | 1023025558 |
---|---|
Provider Name | Dr. David Guy Reel II |
First Address | Bryn Mawr, PA 19010-3118 |
Second Address | Lebanon, PA 17042-7497 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 11/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102387566 | (05) | PA |