Individual
BRIANNA J. REITZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3800 S NATIONAL AVE STE 400, SPRINGFIELD, MO 65807-5272
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2007003079
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220024498
—
MO
01
—
PENDING
AR BLUE SHIELD
AR
Enumeration date
07/31/2007
Last updated
11/08/2021
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