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1992494702
MICHAEL SCOTT REYNOLDS
BOISE, ID
NPI
1992494702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID MRM-2348)
Enumeration Date
2023-05-08
Last Update Date
2024-07-10
Business Address
MICHAEL SCOTT REYNOLDS MD
500 W FORT ST # B.116
BOISE, ID 83702-4501
Phone number: 208-422-1165
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Mailing Address
MICHAEL SCOTT REYNOLDS MD
500 W FORT ST # B.116
BOISE, ID 83702-4501
Phone number: 208-422-1165
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