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Contact Information

RUSSELL REITZ, MD
1133 COLLEGE AVE
BLDG E SUITE 140
MANHATTAN, KS66502-2770
 Phone: 785-539-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RUSSELL REITZ · (Male)

NPI Number 1902882194
Status Active
Credentials MD
Entity Individual
Enumeration date 12/20/2005
Last updated 01/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0426214
  • KS Medicaid 100326210B
  • KS Other 103464 BCBS OF KANSAS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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