Provider Demographics
NPI:1174611206
Name:REYES, NORMAN DAVID (MD)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:DAVID
Last Name:REYES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:333 UNIVERSITY AVENUE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6532
Mailing Address - Country:US
Mailing Address - Phone:916-929-8564
Mailing Address - Fax:916-929-5963
Practice Address - Street 1:333 UNIVERSITY AVENUE
Practice Address - Street 2:SUITE 120
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6532
Practice Address - Country:US
Practice Address - Phone:916-929-8564
Practice Address - Fax:916-929-5963
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2022-05-09
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Provider Licenses
StateLicense IDTaxonomies
CAA401112086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery