Individual
JOHN A REISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
799 E HAMPDEN AVE, SUITE 400, ENGLEWOOD, CO 80113-2700
(303) 789-2663
(303) 788-4871
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 789-2663
(303) 788-4871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
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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