Dr NICHOLAS T REYNOLDS is a male medical professional, specializing in Family Medicine. He graduated in 2005 from Kansas City University Of Physicians And Surgeons.
UPPER SAN JUAN HEALTH SERVICE DISTRICT
95 S PAGOSA BLVD
PAGOSA SPRINGS
CO
811478329
Tel: 9707313700
| Npi | 1679695548 |
| Pac Id | 4587758206 |
| Professional Enrollment Id | I20161102001132 |
| Last Name | REYNOLDS |
| First Name | NICHOLAS |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | UPPER SAN JUAN HEALTH SERVICE DISTRICT |
| Group Practice Pac Id | 2769571892 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 95 S PAGOSA BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip Code | 811478329 |
| Phone Number | 9707313700 |
| Hospital Affiliation Ccn 1 | 061328 |
| Hospital Affiliation Lbn 1 | UPPER SAN JUAN HEALTH SERVICE DISTRICT |
| Hospital Affiliation Ccn 2 | 061308 |
| Hospital Affiliation Lbn 2 | SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL |
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| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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