Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 30030 | CO |
NPI | 1770522302 |
---|---|
Provider Name | Dr. Seth Allen Reiner |
First Address | Highlands Ranch, CO 80129-2360 |
Second Address | Highlands Ranch, CO 80129-2360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 10/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01300300 | (05) | CO |
E93511 | (02) | CO |