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Individual

DR. ROGER P REITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1133 COLLEGE AVE, SUITE E-110, MANHATTAN, KS 66502-2770
(785) 537-2651
(785) 537-4276
Mailing address
1133 COLLEGE AVE, SUITE E-110, MANHATTAN, KS 66502-2770
(785) 537-2651
(785) 537-4276

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
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