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Individual

COLLEEN M REISZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5330 N OAK TRFY, STE 201, KANSAS CITY, MO 64118-4699
(816) 454-0666
(816) 559-7118
Mailing address
5330 N OAK TRFY, STE 201, KANSAS CITY, MO 64118-4699
(816) 454-0666
(816) 454-1694

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
105404
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070008137
RAILROAD MEDICARE
MO
01
070011545
RAILROAD MEDICARE
KS
Enumeration date
02/24/2006
Last updated
05/15/2023
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