Individual
DR. GARY STUART REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SUPERIOR AVE STE 110, NEWPORT BEACH, CA 92663-3606
(949) 646-2471
(949) 642-4338
Mailing address
1501 SUPERIOR AVE STE 110, NEWPORT BEACH, CA 92663-3606
(949) 646-2471
(949) 642-4338
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G34721
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G347212
—
CA
Enumeration date
05/01/2006
Last updated
12/13/2024
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