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Individual
JOHN A REISTER
Active
Individual
JOHN A REISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
36001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01360015
—
CO
05
—
1245556091
—
NE
05
—
129802000
—
WY
05
—
200550830B
—
KS
Enumeration date
06/27/2006
Last updated
01/27/2022
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