Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 4103 | DC |
NPI | 1023253085 |
---|---|
Provider Name | Dr. Errol Nolan Reid |
First Address | Washington, DC 20059-0001 |
Second Address | Washington, DC 20059-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2008 |
Last Update Date | 04/12/2008 |