Organization
REITZ NEUROLOGY PLLC
Active
Other names
Reitz Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
ROLFE DEAN REITZ M.D. (MEMBER)
(580) 237-0549
Entity
Organization
Contact information
Practice address
1204 W WILLOW RD, SUITE C, ENID, OK 73703-2531
(580) 237-0549
(580) 237-7851
Mailing address
1204 W WILLOW RD, SUITE C, ENID, OK 73703-2531
(580) 237-0549
(580) 237-7851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13807
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130005602
RAILROAD MEDICARE
OK
Enumeration date
07/06/2011
Last updated
07/06/2011
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