Larry D Reed, MD | |
400 Maple Summit Rd, Jerseyville, IL 62052-2028 | |
(618) 498-6402 | |
Not Available |
Full Name | Larry D Reed |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 400 Maple Summit Rd, Jerseyville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093775629 | NPI | - | NPPES |
IL4399005 | Other | IL | MEDICARE |
036073586-2 | Medicaid | IL | |
036073586-1 | Medicaid | IL | |
202107736 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036073586 (Illinois) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | R2D52 (Missouri) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Larry D Reed, MD 36 Garden Ctr, Broomfield, CO 80020-1730 Ph: (303) 465-0401 | Larry D Reed, MD 400 Maple Summit Rd, Jerseyville, IL 62052-2028 Ph: (618) 498-6402 |
Oscar Lin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-6402 |