Provider Demographics
NPI:1215822127
Name:REID, DARVELL A (PA)
Entity type:Individual
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First Name:DARVELL
Middle Name:A
Last Name:REID
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Gender:M
Credentials:PA
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Mailing Address - Street 1:1 CAMPUS DR # 2015
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49401-9401
Mailing Address - Country:US
Mailing Address - Phone:616-331-5799
Mailing Address - Fax:616-331-5999
Practice Address - Street 1:301 MICHIGAN ST NE STE 200
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-3314
Practice Address - Country:US
Practice Address - Phone:616-331-5700
Practice Address - Fax:616-331-5999
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant