Most Relevant Information
Provider Data
NPI Number: | 1003336561 |
Provider Name: | IAN REED DO |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | 02005480A |
Most Important Dates
Enumeration Date: | 06/26/2017 |
Last Updated: | 07/29/2020 |
Provider Practice Location
2525 SOUTH ST
LAFAYETTE
IN
479043028
Practice Location Phone/Fax
Phone: | 7658072320 |
Fax: | 7658072330 |
Provider Mailing Location
PO BOX 4699
LAFAYETTE
IN
479034699
Provider Mailing Phone/Fax
Phone: | 7654465417 |
Fax: | 7654465317 |
Suggested EMR
Family Practice EMR