Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35073345 | OH |
Y | 207VX0201X | Gynecologic Oncologist | 35-073345 | OH |
NPI | 1245296409 |
---|---|
Provider Name | Thomas J A Reid |
First Address | Dayton, OH 45401 |
Second Address | Dayton, OH 45409-2939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 23/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2491870 | (05) | OH |
I08428 | (02) |