Provider Demographics
NPI:1740588235
Name:REID, ROBERT TILDEN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TILDEN
Last Name:REID
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8716 PRODUCTION AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2297
Mailing Address - Country:US
Mailing Address - Phone:858-699-0722
Mailing Address - Fax:858-271-0051
Practice Address - Street 1:8716 PRODUCTION AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2297
Practice Address - Country:US
Practice Address - Phone:858-699-0722
Practice Address - Fax:858-271-0051
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC-25201207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology