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

Jack Reid

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639736093

Jack Reid is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone: (480) 478-8057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 The City Dr S, Orange, CA 92868-3201 — (951) 662-8028

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 71487 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639736093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2019
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024

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