Individual provider · Type 1 NPI

Michael J. Reyes, PA C

Medical Physician Assistant · Tishomingo, OK

NPI number 1801879838 Active

Practice location

817 E 6th St
Tishomingo, OK 73460-1800

Call (580) 371-2392 Map

Mailing address

1334 N Lansing Ave
Tulsa, OK 74106-5907

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1474 (OK)

Medical Physician Assistant: Definition to come...

21 other providers at this address

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About NPI 1801879838

Michael J. Reyes, PA C's National Provider Identifier is 1801879838, issued on Nov 23, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tishomingo, OK. The record was last updated on Jul 21, 2022.