Provider Demographics
NPI:1780718981
Name:REID, JEFF SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:JEFF
Middle Name:SCOTT
Last Name:REID
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Gender:M
Credentials:DO
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Mailing Address - Street 1:17413 HAWKS VIEW CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-0605
Mailing Address - Country:US
Mailing Address - Phone:580-272-0485
Mailing Address - Fax:580-332-5750
Practice Address - Street 1:14000 N PORTLAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-4004
Practice Address - Country:US
Practice Address - Phone:405-936-8100
Practice Address - Fax:580-332-5750
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2023-04-26
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Provider Licenses
StateLicense IDTaxonomies
OK4551207L00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology