Trevor James Reitz
Radiology, Diagnostic Radiology in Fort Campbell, KY. Individual provider (NPI-1).
NPI number1922500248
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1922500248
- Entity type
- Individual (NPI-1)
- Name
- Trevor James Reitz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2018
- Certification date
- Aug 28, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 01084944A | IN | Yes |
Practice location
650 Joel DrFort Campbell, KY 42223-5318
Phone 561-704-6588
Mailing address
1 Jarrett White RdTripler Army Medical Center, HI 96859-5001
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