Individual provider · Type 1 NPI

Russel Lee Reynolds, PA-C

Surgical Physician Assistant · Cincinnati, OH

NPI number 1730467226 Active

Practice location

6480 Harrison Ave, Suite 201
Cincinnati, OH 45247-7961

Call (513) 354-3700 Map

Fax (513) 354-7601

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X50-003308 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1730467226

Russel Lee Reynolds, PA-C's National Provider Identifier is 1730467226, issued on Aug 1, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cincinnati, OH. The record was last updated on Aug 1, 2011.