Individual provider · Type 1 NPI

Merrick Gordon Reynolds, PA

Medical Physician Assistant · Twin Falls, ID

NPI number 1891097234 Active

Practice location

526 Shoup Ave W, Suite E
Twin Falls, ID 83301-5050

Call (208) 733-1112 Map

Fax (208) 732-1212

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA876 (ID)

Medical Physician Assistant: Definition to come...

11 other providers at this address

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About NPI 1891097234

Merrick Gordon Reynolds, PA's National Provider Identifier is 1891097234, issued on Nov 17, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Twin Falls, ID. The record was last updated on Nov 17, 2010.