Merrick Reynolds, PA

NPI 1891097234 · on the registry since 2010

Practice

Address: 526 Shoup Ave W
Suite E
Twin Falls, ID 83301
Phone: (208) 733-1112
Fax: (208) 732-1212
Organisation at this address: K2red Llc
K2red L.L.C.
K2red L.L.C.
M Cole Johnson, Inc
Richard W Worst Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho