Ricky Reaves, M.D. Valid NPI
Individual provider · Anatomic Pathology Physician · Edmond, OK
- NPI
- 1518987817
- Type
- Individual (Type 1)
- Primary specialty
- Anatomic Pathology Physician (Pathology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207ZP0101X
- License number
- 16463 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-20
- Last updated
- 2007-07-09
Practice location
3509 French Park Dr, Ste D
Edmond, OK 73034-7296
(405) 715-4500