Individual
JASON C. REUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1899 TATE BLVD SE, SUITE 1105, HICKORY, NC 28602-4200
(828) 322-3821
(828) 322-6697
Mailing address
1899 TATE BLVD SE, SUITE 1105, HICKORY, NC 28602-4200
(828) 322-3821
(828) 322-6697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200200788
NC
207ZD0900X
Dermatopathology (Pathology) Physician
200200788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00254161
RAILROAD MEDICARE
NC
Enumeration date
09/13/2005
Last updated
01/23/2024
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