Provider Demographics
NPI:1528488327
Name:REID, JOSHUA DARREL (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DARREL
Last Name:REID
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:819 E MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1396
Mailing Address - Country:US
Mailing Address - Phone:385-344-6600
Mailing Address - Fax:385-344-6605
Practice Address - Street 1:819 E MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1396
Practice Address - Country:US
Practice Address - Phone:385-344-6600
Practice Address - Fax:385-344-6605
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT9498498-1204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine