Individual provider · NPI-1

Dr. Octavio De Los Reyes, DO

Family Medicine · Staunton, VA

NPI number1427028828
StatusActive
Last updated in NPPESAug 11, 2011

Details

NPI
1427028828
Entity type
Individual (NPI-1)
Name
Dr. Octavio De Los Reyes
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jan 26, 2006
Last updated
Aug 11, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0102-200836VAYes

Practice location

40 Lambert St
Suite 522
Staunton, VA 24401-2446

Phone 540-885-3525 · Fax 540-886-5935

Mailing address

34 Bedford Ln
Fishersville, VA 22939-2128

Phone 540-949-8121

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