Healthcare Provider Details

I. General information

NPI: 1942270947
Provider Name (Legal Business Name): JANET R REISER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 12/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7331 E OSBORN DR SUITE 250
SCOTTSDALE AZ
85251-6435
US

IV. Provider business mailing address

7331 E OSBORN DR SUITE 250
SCOTTSDALE AZ
85251-6435
US

V. Phone/Fax

Practice location:
  • Phone: 480-646-8444
  • Fax: 480-646-8445
Mailing address:
  • Phone: 480-646-8444
  • Fax: 480-646-8445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number29358
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: