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Individual
DR. SCOTT D REITER
Active
Individual
DR. SCOTT D REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
G42150
CA
207N00000X
Dermatology Physician
G42150
CA
207NS0135X
Procedural Dermatology Physician
G42150
CA
207P00000X
Emergency Medicine Physician
G42150
CA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
G42150
CA
207R00000X
Internal Medicine Physician
Primary
G42150
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
G42150
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
G42150
CA
208D00000X
General Practice Physician
G42150
CA
208VP0000X
Pain Medicine Physician
G42150
CA
209800000X
Legal Medicine (M.D./D.O.) Physician
G42150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G421500
—
CA
01
—
XR9324308
SAMHSA DATA WAIVER
CA
Enumeration date
04/26/2006
Last updated
05/24/2010
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