Dr. Demetra Diane Barr Reynolds, M.D.
Family Medicine in Flagstaff, AZ. Individual provider (NPI-1).
NPI number1790721777
StatusActive
Last updated in NPPESFeb 6, 2025
Details
- NPI
- 1790721777
- Entity type
- Individual (NPI-1)
- Name
- Dr. Demetra Diane Barr Reynolds
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2006
- Certification date
- Feb 6, 2025
- Last updated
- Feb 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 28556 | AZ | Yes |
| 207Q00000X | Family Medicine | A63274 | CA | |
| 207Q00000X | Family Medicine | ME154526 | FL |
Other names
- Demetra Diane Barr (Former Name)
Practice location
1895 N Jasper Dr Ste 3Flagstaff, AZ 86001-1632
Phone 928-913-8800
Mailing address
1200 N Beaver StFlagstaff, AZ 86001-3118
Phone 928-213-6235
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