Marc Lewis Reitzner, P.A.
Physician Assistant in Springfield, MO. Individual provider (NPI-1).
NPI number1790732162
StatusActive
Last updated in NPPESDec 27, 2018
Details
- NPI
- 1790732162
- Entity type
- Individual (NPI-1)
- Name
- Marc Lewis Reitzner
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2006
- Last updated
- Dec 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2006001738 | MO | Yes |
Practice location
3800 S National AveSpringfield, MO 65807-5209
Phone 417-875-3700
Mailing address
Po Box 9007Springfield, MO 65808-9007
Phone 417-875-3462
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