Individual
DR. RICHARD W. REITHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G42404
CA
2085N0904X
Nuclear Radiology Physician
G42404
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G42404
CA
2085U0001X
Diagnostic Ultrasound Physician
G42404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G424040
—
CA
01
—
1528058351
BLUE SHIELD
CA
Enumeration date
10/24/2005
Last updated
10/21/2014
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