Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Douglas William Reavie, MD

Individual provider Plastic Surgery Physician · NPI 1720114291

Dr. Douglas William Reavie, MD is a Plastic Surgery Physician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15717 Bernardo Heights Pkwy
San Diego, CA 92128-3155
Phone: (858) 451-1908
Fax: (858) 451-0423
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Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence G47917 (CA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence G47917 (CA)

Record details

NPI number1720114291
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 26, 2007
Last updated in NPPESSeptember 11, 2025

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