Provider Demographics
NPI:1720849904
Name:REED PARKINSON M.D., P.C.
Entity Type:Organization
Organization Name:REED PARKINSON M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REED
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:385-268-5322
Mailing Address - Street 1:1757 N 1590 W
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-1702
Mailing Address - Country:US
Mailing Address - Phone:801-687-4036
Mailing Address - Fax:
Practice Address - Street 1:364 W 2230 N
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-1523
Practice Address - Country:US
Practice Address - Phone:801-687-4036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REED PARKINSON M.D., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-16
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center