Individual
GREGORY REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402
(319) 369-7105
(319) 369-8335
Mailing address
1200 18TH ST SW, CEDAR RAPIDS, IA 52404-1770
(319) 215-7286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
084921
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084921
IOWA MEDICAL LICENSE
IA
Enumeration date
01/19/2017
Last updated
08/29/2018
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