| Jason Jack Reynolds, MD | |
|
2875 Tina Ave Ste 101, Missoula, MT 59808-1582 | |
| (406) 728-3366 | |
| (406) 728-0651 |
| Full Name | Jason Jack Reynolds |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2875 Tina Ave Ste 101, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033615406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MED-PHYS-LIC-145098 (Montana) | Primary |
| Entity Name | Five Valleys Urology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720067705 PECOS PAC ID: 3870497571 Enrollment ID: O20031124000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Jack Reynolds, MD 2875 Tina Ave Ste 101, Missoula, MT 59808-1582 Ph: (406) 728-3366 | Jason Jack Reynolds, MD 2875 Tina Ave Ste 101, Missoula, MT 59808-1582 Ph: (406) 728-3366 |
Dr. Jeffrey Devin Redshaw, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2875 Tina Ave Ste 101, Missoula, MT 59808 Phone: 406-728-3366 Fax: 406-728-0651 | |
Matthew D Munding, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2825 Fort Missoula Rd, Sutie 301, Missoula, MT 59804 Phone: 406-926-6999 Fax: 406-926-6999 | |
Karl R. Westenfelder, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2875 Tina Ave, Suite 101, Missoula, MT 59808 Phone: 406-728-3366 Fax: 406-728-0651 | |
Kevin Michael Kronner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2875 Tina Avenue, Suite 101, Missoula, MT 59808 Phone: 406-728-3366 Fax: 406-728-0651 | |
Byron Chapman Olson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1430 Trotting Horse Ln, Missoula, MT 59804 Phone: 406-728-6023 | |
Christopher G Wicher, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2875 Tina Avenue, Suite 101, Missoula, MT 59808 Phone: 406-728-3366 Fax: 406-728-0651 |