Individual
STEVEN C REITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 883-4511
(208) 883-6571
Mailing address
1233 SADDLE RIDGE RD, VIOLA, ID 83872-9772
(208) 883-3406
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP30006755
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-632
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807070200
—
ID
05
—
9642851
—
WA
01
—
A4381
BC ID
ID
01
—
N434380
IDAHO LICENSE
ID
01
—
P00372632
RAILROAD MEDICARE
—
Enumeration date
08/29/2005
Last updated
09/08/2025
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