Provider Demographics
NPI:1871581496
Name:REED, JAY A (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:A
Last Name:REED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1236 E. ELIZABETH ST.
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4000
Mailing Address - Country:US
Mailing Address - Phone:970-488-1668
Mailing Address - Fax:970-472-9381
Practice Address - Street 1:3800 GRANT AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8412
Practice Address - Country:US
Practice Address - Phone:970-488-1668
Practice Address - Fax:970-472-9381
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2013-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO23790207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01237908Medicaid
CO01237908Medicaid