Provider Demographics
NPI:1952872798
Name:REED, ROY LEE
Entity Type:Individual
Prefix:MR
First Name:ROY
Middle Name:LEE
Last Name:REED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2857 N ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-5889
Mailing Address - Country:US
Mailing Address - Phone:662-275-3144
Mailing Address - Fax:601-487-6684
Practice Address - Street 1:2857 N ROSEWOOD AVE
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-5889
Practice Address - Country:US
Practice Address - Phone:662-275-3144
Practice Address - Fax:601-487-6684
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company