Individual
DR. ROGER P REITZ
Active
Individual
DR. ROGER P REITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0412531
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002181
MEDICARE PTAN
KS
05
—
100087020A
—
KS
05
—
100087020C
—
KS
01
—
P01121941
RR MEDICARE
KS
Enumeration date
03/16/2006
Last updated
06/10/2014
Update your record
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