Randolph J Reister in Mobridge - Internal Medicine

Randolph J Reister - NPI 1952385114

Randolph J Reister is a Internal Medicine in Mobridge, South Dakota. Randolph J Reister practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Randolph J Reister is 1952385114. The last update date is 2021-03-10.

Randolph J Reister's current location address is 1202 9th Ave W, Mobridge, South Dakota. You can contact this provider via phone number 6058453582. The mailing address for Randolph J Reister is 1202 9th Ave W, Mobridge, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Randolph J Reister
Address 1202 9th Ave W, Mobridge, South Dakota
Phone Number 6058453582
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1952385114
Provider Enumeration Date 2005-12-01
Last Updated Date 2021-03-10

Provider Mailing Address Detail

Address 1202 9th Ave W
City Mobridge
State South Dakota (SD)
Post Code 576011210
Phone Number 6058453582
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 5242
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6004640 SD --

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FAQs about Randolph J Reister

What is the Randolph J Reister's 1952385114?

The Randolph J Reister's NPI (National Provider Identifier) Number is 1952385114. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Randolph J Reister's facilities are situated?

The facilities of Randolph J Reister are physically located at the following address: 1202 9Th Ave W, Mobridge, SD, 576011210.

What is Randolph J Reister's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Randolph J Reister is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did Randolph J Reister receive its 1952385114 assignment from the Centers for Medicare & Medicaid Services?

The Randolph J Reister was assigned its 1952385114 on 2005-12-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Randolph J Reister's information last updated?

The Randolph J Reister's information was last updated on 2021-03-10.

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