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Individual

ROBERT WILLIAM REINKOESTER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
3286 GREGSON AVE, SALT LAKE CITY, UT 84109-2215
(801) 484-7870

Taxonomy

Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
2156443102
UT
163WW0000X
Wound Care Registered Nurse
2156443102
UT
163WX1500X
Ostomy Care Registered Nurse
2156443102
UT
363LF0000X
Family Nurse Practitioner
Primary
215644-4405
UT

Other

Enumeration date
09/16/2010
Last updated
12/05/2012
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