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Larry D Reed, MD
Diagnostic Radiology Physician in Jerseyville, Illinois
NPI 1093775629

Larry D Reed is a Diagnostic Radiology Physician based in Broomfield, IL and is specialized in Diagnostic Radiology. Larry D Reed practices in Jerseyville, IL and has the professional credentials of MD. The NPI Number for Larry D Reed is 1093775629 and holds a License No. 036073586 (Illinois).

The current practice location address for Larry D Reed is 400 Maple Summit Rd, Jerseyville, IL and can be reached out via phone at 618-498-6402.

Location: 400 Maple Summit Rd, Jerseyville, IL, 80020-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093775629
Provider Name
Larry D Reed
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Maple Summit Rd, Jerseyville, IL, 80020-1730
Phone Number
618-498-6402
Fax Number
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL4399005 01 IL MEDICARE
036073586-2 05 IL
036073586-1 05 IL
202107736 05 MO
institution
Provider Business Practice Location Address Details
Address
400 Maple Summit Rd
City
Jerseyville
State
Illinois
Zip
62052-2028
Phone Number
618-498-6402
Fax Number
person
Provider Business Mailing Address Details
Address
400 Maple Summit Rd
City
Jerseyville
State
Illinois
Zip
62052-2028
Phone Number
618-498-6402
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036073586 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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