# JOHN A REISTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063449635
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | 36001 | CO | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 01/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01360015 | — | CO |
| 05 | — | 1245556091 | — | NE |
| 05 | — | 129802000 | — | WY |
| 05 | — | 200550830B | — | KS |