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Individual

DR. ROBERT MARTIN REUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1516 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459
Mailing address
1516 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A99834
VA
2085R0202X
Diagnostic Radiology Physician
ME105151
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A998340
BLUE SHIELD
CA
05
00A998340
CA
Enumeration date
05/26/2007
Last updated
07/14/2020
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