Provider Demographics
NPI:1134438021
Name:REED CLICK, MD, LLC
Entity type:Organization
Organization Name:REED CLICK, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:REED
Authorized Official - Last Name:CLICK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:417-546-2401
Mailing Address - Street 1:15449 US HIGHWAY 160
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:MO
Mailing Address - Zip Code:65653-8150
Mailing Address - Country:US
Mailing Address - Phone:417-546-2401
Mailing Address - Fax:417-546-2409
Practice Address - Street 1:15449 US HIGHWAY 160
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:MO
Practice Address - Zip Code:65653-8150
Practice Address - Country:US
Practice Address - Phone:417-546-2401
Practice Address - Fax:417-546-2409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010019847207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty