Individual provider · Type 1 NPI

Douglas William Reavie, MD

Plastic Surgery Physician · San Diego, CA

NPI number 1720114291 Active

Practice location

15717 Bernardo Heights Pkwy
San Diego, CA 92128-3155

Call (858) 451-1908 Map

Fax (858) 451-0423

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XG47917 (CA)
Plastic and Reconstructive Surgery Physician 2086S0122XG47917 (CA)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1720114291

Douglas William Reavie, MD's National Provider Identifier is 1720114291, issued on Feb 26, 2007. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in San Diego, CA. The record was last updated on Sep 11, 2025.