Provider Demographics
NPI:1962472779
Name:REASONER, JOHN PERCIVAL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PERCIVAL
Last Name:REASONER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:625 MAROONGLEN CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-6806
Mailing Address - Country:US
Mailing Address - Phone:719-527-1299
Mailing Address - Fax:
Practice Address - Street 1:402 W BIJOU ST
Practice Address - Street 2:EMERGICARE MEDICAL CLINICS
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-1309
Practice Address - Country:US
Practice Address - Phone:719-302-6942
Practice Address - Fax:719-302-6686
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2015-06-01
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Provider Licenses
StateLicense IDTaxonomies
CO33810207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine