Provider Demographics
NPI:1215786801
Name:REED, QUNTICE D
Entity type:Individual
Prefix:MRS
First Name:QUNTICE
Middle Name:D
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 W GLENHAVEN DR APT 161
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-4455
Mailing Address - Country:US
Mailing Address - Phone:539-629-5341
Mailing Address - Fax:
Practice Address - Street 1:200 N CLASSEN BLVD STE 2
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-7627
Practice Address - Country:US
Practice Address - Phone:405-248-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist