Basic Information
| Provider Information | |||||||||
| NPI: | 1023025558 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REEL | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | GUY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 830 OLD LANCASTER RD | ||||||||
| Address2: | STE 101 | ||||||||
| City: | BRYN MAWR | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190103118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105271185 | ||||||||
| FaxNumber: | 6105278759 | ||||||||
| Practice Location | |||||||||
| Address1: | 735 NORMAN DR | ||||||||
| Address2: | |||||||||
| City: | LEBANON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170427497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172707908 | ||||||||
| FaxNumber: | 7172721734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 01/11/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 5101017075 | MI | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | OS014940 | PA | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 102387566 | 05 | PA | MEDICAID |