person
Merrick Gordon Reynolds, PA
Medical Physician Assistant in Twin Falls, Idaho
NPI 1891097234

Merrick Gordon Reynolds is a Medical Physician Assistant based in Twin Falls, ID and is specialized in Medical. Merrick Gordon Reynolds practices in Twin Falls, ID and has the professional credentials of PA. The NPI Number for Merrick Gordon Reynolds is 1891097234 and holds a License No. PA876 (Idaho).

The current practice location address for Merrick Gordon Reynolds is 526 Shoup Ave W, Twin Falls, ID and can be reached out via phone at 208-733-1112 and via fax at 208-732-1212. You can also correspond with Merrick Gordon Reynolds through the mailing address at 526 SHOUP AVE W, TWIN FALLS, ID - 83301-5050 (mailing address contact number: 208-733-1112).

Location: 526 Shoup Ave W, Twin Falls, ID, 83301-5050
person
Provider Profile Details
NPI Number
1891097234
Provider Name
Merrick Gordon Reynolds
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
526 Shoup Ave W, Twin Falls, ID, 83301-5050
Phone Number
208-733-1112
Fax Number
208-732-1212
Provider Enumeration Date
11/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
526 Shoup Ave W
City
State
Zip
83301-5050
Phone Number
208-733-1112
Fax Number
208-732-1212
person
Provider Business Mailing Address Details
Address
526 Shoup Ave W
City
State
Zip
83301-5050
Phone Number
208-733-1112
Fax Number
208-732-1212
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA876 (Idaho)
Definition
Definition to come...
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