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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOEL WAYNE REYNOLDS, PAC

Active

MR. JOEL WAYNE REYNOLDS, PAC is a Medical Physician Assistant healthcare provider located in DEADWOOD, South Dakota. NPI 1134157233 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · DEADWOOD, SD

Registration Details

NPI Number
1134157233
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2006 (19.940046538153 yrs)
Last Updated
Jan 23, 2013
License
0548 (SD)

Practice Information

Address
61 CHARLES ST
DEADWOOD, SD, 577321303
Browse SD providers · Browse ZIP 57732
Phone
6057226101
Fax
6057196133
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.